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/ ^..q� v <br />w. o. rnnr� , ��� r �I /`( /5-'� � � <br />CITY OF EVERE'IT--`�ilater �ept. <br />, F��� ! ,�s: <br />Application No.1..� �.�.�,.. llate ..........................._................_29.._.. <br />Install ............................ .inch watei ::ervice pipe <br />` , , i <br />1; r�r . ..r._�/.�. i.�!.Z.L_..::4 .::................... ....................'-`---..............--'- <br />On ............:�.t.::z�I:.tr........%.�%...!..4.C,-,.-�.�:4.;�:1"1:'�................. Street <br />Lot........_E_.,:�i-���I�----- ..................--... Block No......._............................ <br />Addition..................... ...................... <br />........................................................ <br />Remarks....... .................................. .................................................. <br />_ .. ...........................--............_.................._... <br />Superintendent <br />LABOR .4iVD MATERIa.L USED <br />---No_L Size � "--...._. .--- —'— <br />:,ead Connection Ccmplet� <br />Saddlc Complete <br />._ _ ...............................---........... <br />Servicc Cock <br />Ser✓ice Box <br />No. Hours Labor ..............................................Cost.................................---................ <br />�ut in_ .................Favement..........._........X........................ ......_................SG.Ft. <br />....................X........................ .................... :� <br />....................X........................ �� <br />........................ <br />....................X........................ ,� <br />........................ <br />Total ........................Sq. Ft. <br />Order Recei��ed.......... <br />\4�orx Comp;cted....... <br />_...._........._ l <br />................_. <br />Fomman - <br />