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W. D.'_orm 531i38 1:9. <br />r CITY OF EVERETIs--Wate Dept. <br />GQPPER�� <br />Application No ...:....... :.'........ Date.... /...., .. <br />....19.5 ... ` <br />Install......-...r ..... inch water Service pip <br />For ......- --J..�i.._- / <br />............. <br />On. ..............a .......... <br />Lot.............../ ---- ......... <br />Addition .... .................... <br />Remarks ........... <br />. _.._....... <br />2. ..... �..� <br />,z- <br />i <br />.....--__......... <br />............Street <br />..... Block No ... ........... F.:.,....................... <br />............................... .................................... <br />...................................�........... ........ ....... <br />�unerintendmL <br />�r <br />LABOR AND MATERIAL USED <br />Lead Connec'ion Complete <br />-,.......I Saddle Cam Bete <br />.... ................... .............................. <br />,.......... Service ock <br />•.......... Service Box , <br />._? <br />............................ <br />...a.!-� f!!i :.. <br />- •..:..............................._.._... <br />No. Hours Labor................... ........... ........ ............_........... <br />�a :. ................... ......_..._........f..Sq. Ft. <br />Cut in........................Pavement.................... .. <br />5.�+.. .'/.YX.. 4�.................. ....................�. <br />....... _........... X......................... ........................ .. <br />X.............._.......... ................. <br />...............Total l <br />...............1P--...Sq. Ft. <br />Order Received....: /...:.'--` ^-_-".-...,C................................ ._.._......... 7......... <br />Work Completed. -:r:.................................. <br />r� <br />Foremnn <br />