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rA��IZ Q ' J/ 'I �� 7 <br /> w. b. ION�] �!, • <br /> - CITY OF EVERE��'I'--Water Dept. <br /> , ,-- „ � � <br /> Appl;r.ation i` 0�.>.1.<_ .:.:.. �. Date.......�.........L..........................1�J......'J <br /> ) / T�stca�.......J...................... .inch �vater service pipe <br /> For . ....l.sC:L.ct.::._....:.7.�„t.ltti.c�.:...............__ . . . ,.......... <br /> , / . <br /> ............... <br /> O�i ......✓-�.li..,7........�,....:t.l.cf,s:c�:'.....L.(.�.z°:r. .................. utreet <br /> Lot ............. ........................... .................. Block No..................................... <br /> Addition . _. . ............ ... ._... ......._..._.............. .__._ ........ ..................... <br /> Remarks ..... .............. .......... . . .. . . .. . <br /> . <br /> ... .. ... ....... .. .............._..... ............ <br /> . J • i <br /> .....::........... ...... .....................L�.f.�:t.�..i.:.:../_.n'.., r.�?.U................................... <br /> � <br /> .. . ...:....... _ _......................................._...................................... ....................... <br /> ................. ........................................................................................................... <br /> _......._...... ...................... .... ................................................................................ <br /> Superintendent <br /> LAB(IR AND MATERIAL USF.D <br /> No. ' Size I <br /> --- ------- r ------- <br /> --- <br /> .._...........................__........___....j Lend ConnecUon Complete <br /> . ....................._........ .............___I :.�ddle i1nmP)ctc <br /> ' . ....ft.. . ...._..............................._...............................Pipe <br /> _._._..... ...................._. <br /> � . _.__.......................................... Scrvicc Cock <br /> .. .................................................. Servtcc Bax <br /> No. Hours I.ibor.. ....._................... ................Cosl.................................................... <br /> Cutin_..___... _. .1'nvement ......... .........X..................... ......._...............Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> .........._.......X.._.................... �� <br /> ........................ <br /> ...................X........................ �� <br /> . ........................ <br /> Totol ........................Sq.Ft. <br /> .. — .-._' <br /> Renerk:...........__......................................_............_..... .............................. _ <br /> _.. .... _ ._ ...._............................................ .. ...................................... <br /> ...._...__.... . ...._........................................................................................ <br /> Oider �?ccc•it•ed ..... ..................... ................ .......... ................................... 1 <br /> �Vock Completed .__ . .... ..... _ _.. ..._____ . . . .. _ _ .. _. <br /> Foremnn <br />