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1 �'�o � 9 �� �� w <br /> w. a. �or.sc�a '� <br /> CITY OF EVERE�T--Water Dept. <br /> ; . ; �^. / . <br /> Application No..l.:....1!.�!..l .... Date...........J....'_�........_.............19_F�� <br /> ,,�� / � - lnstall :........................I....inch water service pipe <br /> For s.% ,/-.x.z:l� .c.y.....• �.r ... .�z�«:�/..........................................�--.... <br /> _., �/ ' i /'� �rt . <br /> On :.�.�-l::5........... :EC<.�..�..�.. ........... <br /> _ _ ...................................... Street <br /> Lot...............:............................................. Block No............._.......-----........._ <br /> Adclition ......................................................................................................... <br /> Rcmarks .......................... .. . . . . . . <br /> - � - -- •--.......... <br /> ............................ <br /> ..............._..............._..........�'.l.i.�a.4✓..�G`+�:n t:........................................."' <br /> ............................................................................................................................" <br /> ........................... ..................................... ............................................................ <br /> ............................................................................................................................. <br /> . Superintendent <br /> LABOR AND MATERIAL USED <br /> No. ' Size I <br /> ----- — <br /> ......................................................�Leacl Connection Complete <br /> .......................... ........................... Saddle Complele , <br /> ......................11............................ ........................................................................Pipe <br /> ..................................................... Service Cock <br /> ....................._......_....................... Service Box � <br /> No. Houcs L�bor..............................................Cost.................................................... <br /> r�:t �n....................Pavem�_nt.._ . __........X........................ ........................Sq.Fl. <br /> ...................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> _ Total ......................_Sq.Ft. <br /> ------- ----- <br /> Rema rics............................................................................................................. <br /> ....... ............._.... ..............................................._............................................ <br /> . ......................................................................................................................... <br /> (`�der Received.. ............................................................................................ / <br /> 1Vo�k. Completed............................................................................................ i' <br /> Foreman <br />