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� � � I/�'//..—' �-- <br /> � W. O. 11M� " • <br /> ' • CITY OF EVERE�'T--Water Dept. <br /> Application No/:f/.:.'.:�... Date............... ./.`ctE�../................19�..'.— <br /> " 7nstall...............................inch water service pipe <br /> For ..__......_ -,r�t:���.:......�.�..�il�- � ---- <br /> � . ��........................................... <br /> .G<t ,-`f-�✓_:�� 7� <br /> On ...................c:....-�........--�...............1...,r�._................._............... Street <br /> Lot.......................................................----. Block No...----....................----- <br /> Addition ........_........................'----..........................................................--._ . <br /> Pemarks !l,��.'�;�:�:�:r�......................................�------�------- <br /> , .. .......................................--................ .. ..................---.............................. <br /> .....................--...............................................................................---................. <br /> ......... ........._......................................---................-- ......................-------- <br /> _........_.................................................._.......................................................-- <br /> � Superintendent <br /> LABOR AND MATEATAL USE;ll <br /> _�� <br /> Na � Size � <br /> ... ...............................�:,ead Connection Complete <br /> ...................................._......._....... Sadcile Complete <br /> .......................ft............................ .......................................................................Pipe <br /> *.'.,��:.r;.. ..................................................... Service Cock <br /> ...,: . ...................................................... Service Box <br /> ' No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................59.Ft. <br /> ....................X........................ �� - <br /> ......._............... <br /> ....................X..........._........... �� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — ---- <br /> Remarks............................................................................................................ <br /> .......................................................................................................................... <br /> .........__............_..........................:............................................... ......_.. ......_.... <br /> OrderReceived...................................- ... ............................................_ <br /> \Vork Completed............................................_.............................. ...- ...... <br /> Fo eman <br />