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1 <br /> � <br /> I <br /> ����/ ..i � .�' J� 1 � � <br /> w. o. ro�r a <br /> CITY OF EVERLTT--�`Vater Dept. <br /> Applic:.tion No...../�I`1.2/.. Date...................................:7-.�.:..19.�..� <br /> Install...............................inch water servicc pipe <br /> For ... .. ....... ............ ......................::�.................................................... <br /> . .. _. <br /> 07 ... ..�^...l:2.�..........�.�.�...-..�.. 4.�.'( . <br /> ...................... <br /> Strect <br /> I.ot..................... ............�......... Biock No..................................... <br /> ................ <br /> .'lddition ......... ....................................................... ....................................... <br /> Remarks ..,�....... .. ..................................................................................... <br /> /� �( -tS�- <br /> ...................... ............................................................................................. <br /> ...................................................................................................................... <br /> ..............._.........................................................................�.... <br /> �� <br /> _._..................... .................................... _.................. ....�1.:..�.:..��..^..:�- <br /> Super twd nt <br /> �.�r� <br /> LAROR AND MATERIAL USF.D <br /> No........... Size I <br /> --- r----------- — <br /> -- <br /> ................. �.................._. L�od Cnnnecli.�n Cumplele <br /> .................__..... ..._......................' Saddle Compl�-tc <br /> .......................f l............................ ........................................................................Pi pe <br /> ....._............._. ..._........................ Scrvicc Cock <br /> ........................... .......................... Servicc Hox <br /> No. Houra Labar..............................................Cosl.................................................... <br /> C�. in.._.............._Fevement......... ..........X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> .........._........Y.........._............ ....................... <br /> ,� <br /> ....................X...................._ „ <br /> .. ........................ <br /> Total ........................Sq.Ft. <br /> _ _�---{-� –�– = <br /> Remarks......... .. ..._....................................................................................._ . <br /> ............................................................................. <br /> .......................................................................................................................... <br /> OrderReceived.._. ..................._ .............................................._ ................. I <br /> \Vork Completed...... .__._........ ............. _.__... _ ..._ _ .....___._ . <br /> Forcrnan <br />