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w. o. ronw o ����� . -C—���'-���_' � <br />CITY OF EVERE"IT--Water Dept. <br />P.pplication No.:'.%`�::<J..... Date .............::J..- :.:<::.;�..........19....-- <br />Iastall ...............................inch water service pipe <br />For...... ........................................................................................................... <br />'i ,, ii r.,;/.,<_:�»�:._........... treet <br />i • <br />On........................................./.-'-:.........._..... S <br />Lot.............................................................. Block No...--••----.......................... <br />.'lddition ....................................� .....................................................-• --........ <br />lZemarks......................�.....---.......- ........................................-•-�-----•--........ <br />r-�7 � � <br />........._...........:<..:..<<� _� :................................................................-.....-'-------- <br />�: - Gi`1 7 <br />. ., <br />• ................. ...!........................................................... <br />_, _ � <br />. _.. _.....<�...,=........_s �..---... _ _ ........................................... <br />LABOR AND MATERTAL :ISED <br />No. � Size � <br />............................................ I�cad Connection Complete <br />..........................._................ Saddlc Completc <br />.............ft............................ ......................................................... <br />............................................ Service Cock <br />----------..I_..._ .................... Service IIox <br />No. Aaurs Labor ..............................................(:ost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ ,� <br />....... _ ............... <br />....................X........................ �, <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />-- — -- <br />Rom�rLa .____. _""'_"___.__'"""""' ........................... <br />Order Fteceiced ................. <br />\Vork Campleted_............ <br />.........................._........_..........Forem� \ <br />