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� �� � � . _ 11 "-',�1 � <br /> �.. .,. ror+ .: <br /> ' CITY OF� EVERE�:T--Water Dept. <br /> A�plicaLionNo._��.2.�.�',. :5 Date....._.,�'._.. _�................ .........19_lc."�i. <br /> I:�stall._.._....._.._......._. ...inch �vater s;:vice pepe <br /> For .........t��.:...':.��.�..�..5--:�\ti..-:�L.151.............................._.................. <br /> r ' � <br /> �..4��e.±.�:.�.��.::�........_..........---....................... Street <br /> On .._..._.....'�...._ . - <br /> Lot............_......................_..................--�- Block No.. -- ................_........ <br /> .:ldclition ......................................................................................................... <br /> Remarks ..._�Li�.\,�..-.R51_�:.�9.�':�.................................__...................... <br /> __................_...__...................._......................"'-'.---........................_................ � <br /> .............---....................._........................ ...----..... .---...._......................_......... <br /> .._.. . .._.........._... .........._..._--...........---...........----..................._......................... <br /> ......_...--_.........._...........__................... ...................................................._..... <br /> Superinlendent <br /> LABOR AND MATERIAL USED s <br /> V Ko.__� . Size � -- -- — — <br /> .................._................_....._......J Lcsd connec[ion Cumglete <br /> .............................................._.....' Sad�le Complete <br /> .......................ft.l..................._...... _._..................._ ..........._..._..........._........_....Pipe <br /> .........._..........._......._................. Scrvice Coc}: <br /> ...............................................__... Servicc Box <br /> No. Aom�s L�bor................_............................Cust.._...--....._..............__..._........... <br /> Cutin...................PavemcnL.._...............X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................7i........................ ....................... �� <br /> ....................R....._................. �� <br /> .............._....... <br /> Total ........................Sq.Ft. <br /> ---�_------ ---- <br /> Remarks.._-...._.........._.......... - ___......................................................... <br /> _.......... ... ...._.._...................... __....................._........._........_..................... <br /> .....__... ..................................................... - ............_.............._.._........... <br /> Order ?7.eccived._......................................_.................................._............---� i <br /> \Vork. Complcted...._................... ................... __..................................._...... <br /> Fa;'eman <br /> �� <br />