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1 �2�'.� �j J�/ �� <br />w. o. roan � _7 - ��-7 7- <br />CITY OF EVER�'�'T'--Water Dept. <br />Application Nu..L..7:�.:�_7.... Date.........%...-..L::�.:`.!� .............19....- <br />Install ...............................inch water service pipe <br />For......................................�............................._..............................., ............ <br />, „ _ / . . .. <br />On .........�;=..1...<' .......'?�-�i�.r.:�:.:...../:-.r..::���r.....r.,c�. Street <br />T.nt _ ---- -....- -'-------..... Block No ....................--�------'- <br />Adciition........................ ............................................................ <br />Remarks............................................................................��---... <br />/i , <br />1�... x .. :.............................. .. -- ........................... . <br />. �.... ... <br />......... <br />.......................................................... .................. ... <br />_ . , <br />�i::-:f:;;--: =_:' <br />. ................................................. -- <br />Z,ABOR AND 16iAT[:RIAL CSEA <br />No. Size I <br />--- - --- <br />.. . ......._ ............................................. :.ead Cormection Complete <br />� ...................................................... Saddla Complelc <br />.......................f:............................ .................................................... <br />:. . ......................_............................. Service Cock <br />� � ............................................:......... Service P,ox <br />No. Aours Lsbor ..............................................C:ost.................................................... <br />Cutin ....................Pavetticnt....................X........................ ........................Sq.et. <br />....................X........................ ,� <br />........................ <br />......_--........X.._ .................... �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />OrderReceiveci ............................................................................................... <br />\Voik Ccmpleted ............................................................................................ <br />Foreman <br />