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6 JYVRICCC ]M.� � ' � `/ � v . <br /> W. O. raRM ] <br /> CITY OF EVERE"IT--Water Depe. <br /> � , , �( , . _ <br /> Application No..�:. ._:....::.-.. ate.....t_.:..:..t....'_.:_i:---.1.�:......19..�.:. <br /> 1 stall....��..-�:_...........:inch water service pipe <br /> For ..._:......:.:�......._::_:....=....._..:......_.................._...................................... <br /> _, ..... <br /> - / ; ^ , '�. <br /> On ..:............./.....,.....:.........---.::--......::__.:....................._................... Street <br /> Lot...............-- --..:.!.--�------............_�..... Block No..........:_.......::....--...----• <br /> .9ddition .......................................................................................................... <br /> Remarks .......................................................................-------...........---------- <br /> ;� � ,, <br /> .............................................._........... ........... <br /> . ......._---.......--•--...___.. <br /> , � <br /> ......%�...:.._;._:...... .......--......._........................ <br /> ..........................................•---.... <br /> .. ..............• .............................-----.............................._...... •-�--�--..........---..... <br /> ............................ .................................................................._.-.--:..:.....:....... <br /> � Superintendent <br /> , <br /> LAIIOR d.NU MH.TERIAI. USPD <br /> --No. � Size �-- <br /> ...................................................... Lead Connection Complele <br /> ...................................................._ �addle Complotc <br /> .......................ft._......................... ........................................................................Pipe <br /> ..................................................... Servicc Cock <br /> ............�..................... .. Service I3ox <br /> ......_-���.,,�.........'..�.�:.......... <br /> ....................._........................... ............................................................................................................._. <br /> _ ..._. . ���..,��. ......... ............................................................................................................. <br /> .... <br /> �-- <br /> . .. <br /> ..._� ......:..�. �...r�..�'........... .................................. ... ....................................................................... <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X......._............... ........................Sq.Ft. <br /> ....................X........................ ,� <br /> ......._............... <br /> ....................X........................ �� <br /> ....................... <br /> ....................X........................ �� <br /> ........................ <br /> Tutal ........................Sq.Ft. <br /> -----�--�--- <br /> Remarks.................................................................................................�--�--...... <br /> � � ,� ... , <br /> � — .. . � , , , <br /> Order Pecerved_............ ..............::.• ...�.:.............................. <br /> ............. <br /> r........................� . <br /> . ........................................... ................... <br /> .,�. <br /> 14ar} 'tom,Peted.._g".`.....:.................._v....._i��.._.'.� �1�:;:....,: • <br /> � � ................ :...t..1 <br /> r l� 53. / <br /> f Foreman <br />