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� <br /> �� <br /> a i PNICO[ 9�1� 1 � � �.. . ... �: .- ,�� �1� iJ <br /> W.O: hlbrh'i �� ' <br /> ITY OF EVERE7T��-Water Dept. <br /> ,, � � , .� - � � - <br /> Application No......'.:...r...;..:...., Date---._........:......._...�..�.:'...........19:.:'.,— <br /> Tnstall..._..::.�:� inch water service pipe <br /> � j............... / <br /> For • C -. . <br /> ......:C....:::..::..:..._....._.......:f'..�......�...:........:..:...�.:.._:............................ <br /> �../ C� �..i:.c:�'_.'_:I.t.:;:..::.i�s....:...�.'i'.f.�........_ Street <br /> On ................. . ............ <br /> Lot..........._..---................................._..----- Block No.---............_......---......__ <br /> Elddition .............................................................................................. <br /> Remarks ....----'��........................................................................................... <br /> l; . _ . ' � <br /> .., ..y. ....:....:...:. ' ... ' :;..h. ..:.:.w../.1:::._� L v <br /> ..............................................................................................""""""..........._.._"' <br /> _i � <br /> � <br /> � � <br /> .� ......:...................... :......!1........................_............................:.."'.._........:..:...:....�.��� <br /> � -�-1,,' � i I SuperinlendenY' <br /> � , LABOIt ANI) MATERIAL USED <br /> No__,j Size i _ __ <br /> — i —— <br /> ................:-�_��.......__..........._I :.ead Connection ComPlele <br /> .............�................................_..... Snddlc Complcte <br /> .......................ft............................ .......................................................................Pi pe <br /> ..................................................._ Service Cocl: <br /> ............................................:......... Setvice Box <br /> _.............._.................................... ............................:.................................................................................. <br /> No. Hours I.aUor..............................................Cost................................................... <br /> Cutin....................Pavement....................X......._......_....... ........................Sq.Ft. <br /> ....................X .. �. <br /> .._......_........... ......._............. <br /> ....................X........................ ..........._........... �� <br /> ...................X........................ ........................ �� <br /> Total ........................Sq.Ft. <br /> -------��------ - <br /> i ) . , <br /> � � ' /�t <br /> -�� , . � :' ... . <br /> Remar ....... .....:.........,.,......._.__:_r.........._.:_..................................--.. . <br /> � ', f . <br /> , ` ` <br /> _. ............. ................... ... <br /> {............................................................,.>...�.... <br /> . ............................ ...................................................................t ...�. <br /> �L '- <br /> . . �.�:........... <br /> Order Received................. . . �...:._.`.................... <br /> ... ...................... / <br /> . r................. , <br /> � .._ <:?.._:............. : . <br /> \4ork Completed.,�...-.�.,..........., ...................................... <br /> Foreman <br /> ! <br />