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9. ii. PNIItlE�] � D � � ��J'f <br />W. D. (ONM ]� / / / <br />CITY OF EVEREr"T�-Water Dept. <br />� �c;.z <br />Application No...;._-.� ....:......... <br />� Install...... <br />f�,- � <br />For ..........,:.r...l� //` � � <br />....... <br />On ........�i:,,�q.... ' -G.�:!=.c <br />Lot.......--.......... ././. �- .............. ....... <br />:! dditiun ....:.�.I.t.<:�� �t�4ce,r <br />Remarks ....,.%i..�.4u..'-....�c?2 <br />..._...; ....���Zf........-��l <br />......::.:........................... ................. <br />: � .�-,.�i <br />:.. ... �.... ...... � J �.r., <br />water service pipe <br />- .. . ..................----....... Street. <br />. Block No.......1�'.' ............... <br />c-R <br />.....�r�t�i�...:.i. " ! �.c.'._ C t ............................"'........ ....�...�ti:..'r...��:.. <br />�: ��� �G � Sup rintendent � <br />� ' ' .i _ ��7. c[� <br />., c.�y'1� <br />LRBOit AND MATERIAL USED <br />No. � Size � <br />Lcad Connection Complete <br />£addle Complete <br />i. i i� r <br />.... ............................................... <br />Service Cock <br />Service Box <br />No. Aours L�bor ................................ <br />Cut in ....................Pavement............. <br />- , ............ <br />. �,•.r ., , _ � <br />Remarks. <br />Total <br />,;", m.�:.::...... <br />........................Sq. Ft. <br />......._ ............... .� <br />........................ �� <br />... ... . S�. Ft. <br />OrderReceived .................................................................... ..................... <br />\Vork Completed.:i..-_ z..::.:i .::::......................_......:.`.::..:.;_.::.:_z.�_........... / <br />Foreman <br />