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5. .1. YFJCBC ,� I33T4 � � � ��� �`- � `� <br /> w. o ronrn a <br /> CITY OF EVERE"IT--Water De��t. <br /> � ,., , <br /> ..: ; �: ; . <br /> Apolication No.. ........._ ... .... Date..........- � �i.L...l..............19..../ <br /> 7nsta1l..........................<.. .inch water service pipe <br /> For ......................................... .. .......................f.......__............__................... <br /> L��.�i = ��l��L-r.e�.L.`C-�� Street <br /> On _.....- ........... ...................................... <br /> Lot............................................................. Block No............ . .................... <br /> Addition _............................._..-----................................_............._ . - ..... <br /> Remarks �........................................................................ <br /> ............................... <br /> _.........._.....-.....................-..-.........................- ---............. ...... ...................... <br /> _..........._ .............................................................................. _.. .................--.... <br /> _......................................................... _............................................._............ <br /> ........................................ ...............................................................-•.......... <br /> Superintendenl <br /> i.AtSOR AND MATF.RtAL USE:D ' <br /> No. Size � _____. � <br /> __ .—___ � <br /> .. <br /> � _ .. . ..-I L����d Comuction ComplMe .� <br /> .......................... .............. .. � Soddlc Com lete `. <br /> .......................ft...................... .. .. ._ ..._....... ....... . .. ..... .. _._..Pipe , . <br /> 7 <br /> _......................._........_................ ServiceCock ....�,'.,.�. <br /> ...._...................__.._..................... Sc�vfcc 6ux '.�.`>�=,i�1 <br /> .... ... ..... . .__........................ ._... .... ............. . ...... . _. �. <br /> .. ............._............ , �:;., <br /> NO. H011PS LeI]OC__.._......._....................... COSt ... ....................... . .... ..._ .. . .L1 <br /> Culin........_......._Favement_..................X_..................... ..._....._._.........Sq.Fl. <br /> ..... ..............X........................ �� <br /> ........................ <br /> ......_............X._........_........._ �� <br /> ........................ <br /> .._..._..._.....X........................ ........._............. " � <br /> Tolal ._.....................Sq.Fl. <br /> ------------ <br /> P.e�narks........................................................................................................... <br /> ..... .. ._.. <br /> ................. .................. .. _ ....................... .............. ?``:! <br /> ...................... ' ,. � <br /> ... .. ................... ..... .. .............. ........ <br /> .. .... . ,�;., <br /> Order � � ..�. .��. . .... . _.. . ..... . ...... ._... .. .Foreman... 1 �� ``' �p1 <br /> .�ecctecd e � <br /> ',l ork Cam leted ;`� � <br /> ;, § <br />