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: :, <br /> w. o. Io�N ] y /�� ' . . ^ r(, ' .�.�. <br /> _'S �� / � V. <br /> CITY OF EVEREI�I'--V(later Dept. <br /> -, ; - ; <br /> Application No...�C...:�.i�_.. Da±e........:............................... <br /> .......19...::� <br /> Install...............................inch water seivice pipe <br /> For ................................... <br /> / - ,...............................:,�.......................................... <br /> On ....... :..b...�''_:�.....`:r..c4F.7����,e'3±• ._C..;. .' �x ci <br /> ... •...,(:.'f ....-..-.—Street <br /> . ................. <br /> Lot.............................................................. Block No......................-�----......... <br /> Addition .......................................................................................................... <br /> Remarks ...............................................................................................•---�•-•--• <br /> ..............................................................................................................�--.......... <br /> ............................................................................................................................. <br /> _.......,�................................................................................................................... <br /> __, . <br /> ,,.�..........._�..��..,j.�-.'..�.................................................................................. <br /> Superintendent <br /> 3 — � - � �' <br /> LABOR AND MATERIAL OSED <br /> No. Size <br /> ................._................................... Lead Connection Complete <br /> ...................................................... Saddle ComPlete <br /> .......................ft............................ ........................................................................Pipe <br /> ......................................._............. Service Cock <br /> ...................................................... Service Box <br /> No. Hours Labor..............................................Cost.................................................... ,. <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ ,� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft <br /> --- <br /> Remarks............................................................................................................. <br /> .......................................................................................................................... <br /> ............................... ............................................................................................. <br /> OrderReceived................................................ .............................................. <br /> \Vork Campleted............................................ ....................................... . <br /> Foreman <br /> _�e_-_ , <br />