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w o. roww o /�v � � ' •� �f ' .S"'O %.� 4�' <br />CITY OF EVERE.iT--��later Dept. <br />Appiica[ion No../...%.�.�..�..... Date........._-�.`.�...!_�:_�...........19...... <br />lastall .............................. .inch water service pipe <br />For......................................................:............................................................. <br />On ........3.'Z 1......`ll�..tr( �.�._t,� ::...................................... Street <br />Lot.............................................................. Block No...........----•---................_. <br />�ddition ....... ........ ............................................................................... <br />Remarxs..............................................-....... -- — <br />, ............... ................................ <br />j ' -_ <br />�, _ .-, , <br />....... ........:...�....._............. <br />J - �, _ � % <br />�� <br />LABOR AND MATERIAL USED <br />No. <br />...........................I........................... :.cad Connection Complete <br />......................................................� Saddle Complete <br />................--...................._.:........... Service Cock <br />............................_........._............. Scrvice Sox <br />. No. Aours Labor ..............................................Cost.................................................... <br />Cut in ....................Pavement....................X........................ <br />........................Sq. Ft. <br />.................... ........................ ........................ <br />�� <br />....................X........................ �� <br />........................ <br />x �� <br />Total ........................Sq. Ft. <br />--' ---- — <br />Remarks ............................................................................... ........................... <br />�i � �., , i� p � �.. .. % <br />' (v <br />... : :......... �... � ' " �` <br />........:..................�..................... �. .............................................._.. <br />� <br />�- S, =;. •u. <br />.� v �,_ . _ . .. <br />OrderReceived ................... ..................................................................... .. <br />\Vork Completed ........................................................................................... <br />Foreman <br />