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i7s°'�� _ � � : �_ � <br /> w. D. fOMM 9 � --- - <br /> CITY OF EVER�T'T--Water Dept. <br /> , <br /> Application No....�.1..:: ..::. i'.. Date.......:::�...:...1..:.._.._i..............19---�- <br /> Install...............................inch water service pipe <br /> •--- <br /> or � ;........' , : , ;r 'j ;�.......................... <br /> ........................................................ <br /> On .........................�:...'�:.......� ,..._..._..................`.:::.::'.T....... Street <br /> Lot. .......................................................... Block No............:.-----........... .. <br /> Adclition .......................................................................................................... <br /> . .. ..�.................................... ............................................................... <br /> Remar s � � <br /> ......................................................................................................................... <br /> ..................... .:���.,.. <br /> ................................................................. <br /> ..... . <br /> .............................................................._....:�:_./.�1...... �..'.:.4.a . <br /> �"'-"""""����� 'Superintendent�� <br /> .fl%Q <br /> LABOR AND MAT6AIAL USED <br /> No. I Size I — <br /> — r — <br /> ............................................._.......I Lead Cormeclion Complete <br /> ..........._.........._............................. S�ddle ComPlete <br /> ......................it............................ ........................................................................Pi Pe <br /> ........................................_........... Scrvicc Cock <br /> .._....................... Ser-.•ice Box <br /> .. ............................................................................................................... <br /> .....................................................I <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................54.Ft. <br /> ....................X........................ ......._............... <br /> ,� <br /> ....................X........................ ........................ <br /> �� <br /> ....................X........................ ....................... �� <br /> Total ........................Sq.Ft. <br /> ---– '.— <br /> Remarks.................................... ......., ./............................................................. <br /> .._.....................................�:-�............_..._................_........_......_........... <br /> OrderRecei��ed................�........................................................._................... <br /> \Vork Completed.......................................................................... .......... <br /> Fareman <br />