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/7.5�/S' � <br /> w. o. ro�r a � <br /> � CITY OF EVEREI�I'--Water Dept. <br /> Applicati,-n No...: ;1..: :..: .... Date...........r.....L.....k._'.:.................18...... <br /> lnstall.............................. .inch water service pipe <br /> For .......................... <br /> ........................................`..................................... <br /> � ; / / <br /> On ...............1::.....'....�......_�._.:._�..L�:..:.........:�. Y.................... Street <br /> Lot.............................................................. Block No..................................... <br /> Adclition ........................................................................................................ <br /> Remarks .......................................................................................................... <br /> , . �. <br /> , ; <br /> ....,/.....� .:.:�:...:....................................................................................... <br /> ............... ................................................................................................... <br /> ......................... .................................................................................._...... <br /> _..........._....__. .........._................................................... : , , <br /> �..............�.....:: <br /> Superinlendent,/ <br /> � �r ,% � <br /> LABOR AND MATERIAL USED � <br /> No. ' Size I <br /> — -- -- _ <br /> ...................................................... Lrad CnnnecHon Complete <br /> ......................_............................ Snddie Complele <br /> ......................ft............................ ..........................._......................... ...._ _......Plpe <br /> .............._................._.................. Service Cock <br /> ..__..............................._............... Servlce Haz <br /> No. Hours Lsbor..............................................Cost........................................... ..... <br /> Culin....__.._........PavemcnL...................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> . ...............]C........................ �� <br /> ... ........................ <br /> ....................X........................ �� <br /> ........................ <br /> m., _ <br /> Total .................._...Sq.Ft. <br /> ---- <br /> Re�n a r ks............................................................................................................. <br /> __............................... ..............................._............................... <br /> ...................... .................................................................................................. <br /> OrderReceived............................................................................................. I <br /> lVork. Completed......................... .......... _..__ _._ . _ .. ......_ . <br /> Foreman <br />