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'':�: <br />' A� <br />9. J. PFICOC 3M 6���'� �. . " r.. :�j� �� <br />W. �. fOfiM ] � ` �� \' � li �J <br />C��i Y OF EVERF.TT--Water Dept. <br />� <br />35�.�( -:'""'�'- JUN 1 196i <br />� �.. .. �� <br />ApplicationNo...._ .............._... Date................... ..........................19...... <br />I:�stall .............................. .inch water service pipe <br />F���S /,�--S/'-�J+/ - ............. <br />. ..................... ....... . ................................ <br />.... . <br />On .��-!'--�1:.�..,.. ... ..C'�.�i�..... ...- -- -- -......_.. Street <br />Lot..... -.- .............-- ......._.........--�--�- - Block No..................................... <br />f..dditiun .......__ ........ ............................................._.................................... <br />liemarks.......................................................................................................... <br />.... .......................................................................................................................... <br />... _ ....................................................... ...' `--......................................... _------------- <br />�'I� . ..............------._.........---.....--'........ <br />............................................................... ........ <br />I <br />� __........._ ......................._ ........ ....... - ........................... ......- --.................-- <br />SuPerintendent <br />LAUOR A?aD MATERIAL USED <br />No_--L— Size I —_. ---- <br />I <br />........................_.................I Lead Connection Complete <br />..........................._............... Saddle Complete <br />..........._ft ........................__ ..._.................._......................_.................._...Pipe <br />..._ ............._......._.........._.. �ervice Cork <br />_._.._._..._ ..........................._ Ser�icc BoX <br />�� �__,J-- ................I ..........................._..............__.........._......-. ....._..................................... <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Paveaicnt....................X........................ ........................Sq. Ft. <br />....................Y........................ ........................ <br />�� <br />...._........_...X ........................ ................._..... �� <br />....................X........................ �� <br />........ ............... <br />Total ... ................Sq. Ft. <br />--------- - <br />Rmv.orL_ ...._.___"'""""" ........................._......................_..... <br />Order Peceit•ed ............................ <br />\Vork Completed ......................... <br />. . .......... ............. ....... ..Foreman �.. / <br />