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/ <br /> w. o. ronH i �� � � . . . . ii'v�. <br /> � CITY OF EVERE 1"T'--`v�later Dept. <br /> A�,plication No..,:.�....:...:.... .i Date...__.........:�............................_19...::_. <br /> Tnstall....._............__........inch water service pipe <br /> � i , <br /> I•'or ....:.:...:......r._L:..-_.........,::...::..:........................ . <br /> ................ .............. <br /> On .........._::�...i.._�.c::............:.:�.:.i.......:..........._.............................. Street <br /> Lot........................................:..................... Block Iv'o.................................... <br /> nridition ._._.................................:...............__..... <br /> .......�............................... <br /> Remarks ......._....................._L_.�..........:..:...h:..,�..�.:....: <br /> ....................................................................................................................... <br /> ............. ............................................. .................................. ................ <br /> _............................ ..._.................... - .........................................._...............- <br /> .............................................................................................................. <br /> Superintendent <br /> LABOB AND h1ATERIAL USF.D <br /> No. ' Size I <br /> -----� -- — - <br /> , ........................................_.._...._ I Lcad Co�mecti�n Complete <br /> ..................._...............__..............I Saddlc Completc <br /> ....................._ft........................_. ..___......... ....__...__.............._.......................Pipe <br /> ................................................... Service Cock <br /> ._..............._.................................. Scr�ice IIox <br /> No. Hours Labor.__.......__..............................Cost....__......................._.................. <br /> Cul in..........._....._Pavemcnt................._.X........................ <br /> ............ .........Sq.Ft. <br /> .........X........................ �� <br /> ........... ......._............... <br /> ...................X........................ �� <br /> ........................ <br /> ....................X........................ �. <br /> ........................ <br /> Total ........................Sa.Ft. <br /> _--------------__ <br /> Re7na rks.............................................................................. <br /> ................................................................................................................. <br /> .................................................................................................................. <br /> OrderReccived...__.......................................................................... ........._. / <br /> �Vo:k Completed....................... ........__. ........._._.................__..._............ � <br /> Foreman <br />