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�� g�� � <br />w. o. rnnw ] /�� � ( � �t_JT� <br />CITY OF EVEREI�°--Water Dept. <br />Application No../.����; .'_"�.... Date..._.....�'...-:.�_.�.':c :.::.:.............19....-- <br />Install .............................. .inch water service pipe <br />For...................................:................................ .................i.........----............. <br />�„ ,' , � <br />On .........1.�:./..�� --=„->,.;. �,—:S:<<.:'...,��.:5::...�- =--...... Street <br />i,nL - ...........................I......................... Block No................----................. <br />Addition.......................... � -............... ......_......................................._..... <br />Remarks...................................�--........................................................_........... <br />i � / L, <br />� � �. ......................: � �<..n;............_.............----..................._.................--------...---�--- <br />:''. <br />Sizc <br />LABUR AND MATERIAL USED <br />:.ead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Y.ours Labor .............................................Cost.................................................... <br />Cutin ....................Pavemcr.t.................---X........................ ........................Sq. Ft. <br />....................X........................ �� <br />. . ...... <br />....................X......----............. „ <br />........................ <br />Total ........................Sq. Ft. <br />---- __ <br />Remarks...................................................................... .................................. .. <br />................................................� --......................................................------............ 1 <br />OrderReceived .......................................................................... ............ <br />\Vork Completed ............................................................................................ <br />Foreman <br />