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/ 7.�'2� � - <br /> t^: ,r � <br /> � y,IOIIM 0 �• " �� � �)�' <br /> CITY OF EVER�TT--�''later Dept. <br /> PP • : ^ ., � ...19...... <br /> A lication No./..Z.: r �::..... Date............:�..:..�..:�.:.�........... <br /> :7:{' Tnstall...............................incl� water service pipe <br /> . .... <br /> or ..........................................................................`................................. . <br /> �_�:���.......�:..L�:.L:S.w�t.....:��i�'..:�f�............. Street <br /> On ..._..................... i <br /> I,at.............................................................. Block No.....`.............-------........... <br /> Additiou ......................................................................................................... <br /> Remarks : ................................�--...............................---................................ <br /> ..,j„ <br /> ,. „ <br /> , <br /> ........................................ <br /> ................:?...�::.. ..................................................... . <br /> ............................................................................................................................. <br /> ............................................... -, .... ...---.. ... <br /> ..................................... .................. �.su..ec�--- <br /> ........ ..... <br /> c . <br /> •_ ;� <br /> �— . <br /> . .......:�_. <br /> ......................................................................... p • tendent <br /> ��'�/i�'. <br /> LABOR AND MATERIAL USED <br /> No. ( Size � _ — <br /> ..............._,,.......� Lcid Connection Complete <br /> ...........................�. I <br /> ............................................... <br /> .......� Saddlc Completc <br /> .......................ft............................ ........................................................................PiPc <br /> ._............._. <br /> .................................. Ser�•ice Cock <br /> .............................................. <br /> ,.,..... 3crvicc Box <br /> No. Houes Labor..............................................Cost................................................... <br /> . ..... ............._.59.Ft. <br /> Cutin....................Paventcnt....................X........................ �� <br /> ....................X........................ ........................ <br /> ....................X........................ ........................ <br /> �� <br /> ....................X........................ ........................ <br /> ,� <br /> Tot,� ........................Sq.Ft. <br /> � — ^-- __ <br /> Remarks............. ............................................................................................... <br /> ............... ...... ................................................................................ <br /> ............................................................................................................ <br /> OrderReceived............................................................................................... <br /> \Vork Completed............................................................................................ <br /> Foreman <br />