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F <br /> W�D P rm]/ 3� � �� y • . , <br /> CITY nF EVERE�T--Water Dept. <br /> . � � <br /> ^ .� <br /> APplication No.,i���,JY D�te....�...�.....�...,r:...............1�/: <br /> / Tnstall...�� /:.'i.��..:r.........inch water service pipe <br /> For ( �'r..!rt-.> ,Z� C!:...�..�..1::.:..>-,r.�:-�. <br /> .... .......- . . ....r..:.......... , ,......---......................................�-- <br /> ,_ ...., <br /> ��1.��-.':..�...:'.:h.^.`.;t.%.:,�,::J .......;�..::...... Street <br /> On ............... ... .....�'.... <br /> t <br /> Lot.............................................................. Block jV ........--�--..._................... <br /> Addition .......................................................................................................... <br /> Remarks ...........................................................�-...................--�--._.................. <br /> ............................................................................................................................. <br /> �~ � � .................... .::.:........ .........`......-------._.......... <br /> ���o����../. ................. .. ;, <br /> .... . <br /> :.. <br /> � c.� _i L�'7� -�' ... �!. ....�...................... <br /> . ....�......_.. ../..:. -:f ... <br /> r— , ,, ..._..J <br /> �....�r......... , . , .�' �i�.('' <br /> ,.1I�-�. <br /> T�..:::.'............�:...................1. F� . ... ..�....,...........----- <br /> , � � . ,, <br /> .......... :...: ..... <br /> � %� „- � Superintendent <br /> , -r. <br /> f�� <br /> � LABOR AND MATE1tIA�IISED <br /> No. Size �_ <br /> .............................................. Lead Connection Complete <br /> .................... iaddle Complete <br /> .................................. , <br /> � . . .......................ft....._.........._......... ........................................................................Pipe <br /> ........................................_.._....... Scrvice Cock <br /> I ...................................................... Scrvicc Box <br /> � � . .../.. - � <br /> ��, ...................................................... ............. . ........ �. ) j <br /> . .. ................ <br /> ?..../r�/:a..S.?...._.1:..'/f'1%::.':.�.l...Q......""/-.1.C.(,.......... <br /> � .................... ......_l. <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Favement....................X........................ ........................Sq.Ft. . <br /> � �� <br /> ...................X........................ ....................... <br /> L_c�.:.l.>�—C� �� <br /> � �:: r�,.. _. ,.-. <br /> ....................X........................ ........................ <br /> f-� C C - '. ._. }[ ........................ �� <br /> . . ............... ....................... <br /> 7 / � / �J / .....Tolnl ........................Sq.Ft. <br /> -------- � , <br /> Remarks...--�.�1..�.....:�:��4�:.:....:.c:�F:..:.'.:.i:............................................-..... <br /> , <br /> ........ ............................................................................................�-��--�•---.......... <br /> ............................................................................................................................. <br /> Urder fieceived...................................:.::.�........._..... . � r...;::_�........ <br /> �!._.::....-'_.. <br /> - : � 1l�- �:'��� � <br /> 1Vork Completed....!.........�........`:. ...,}'...........:''.::......�............................. <br /> { � Foreman <br />