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w. u. ror+F ,�� O • <�. <br /> CITY OF EVERE7T--V�'�ter Dept. <br /> ApplicationNo....:'�......._.... ..1 Llate....--...--......:�......_::..............19...-` . -. <br /> Tnstall........_.....................inch water se:vice pipe <br /> For ....l..::...:.:.::..�........ . .. _............:....:..:.:...�..................... .................... <br /> , � <br /> ' ' ..... Street <br /> On ....._,:...._-.....i...:%... .......�!.._...:...::...:.................__........_ . <br /> Lot.........................-- ...`:.:.�..........._...... Block No.... -......................._. <br /> Addition ............................................. ........._.......... <br /> . . <br /> Remarks .._....... ....._........._�._�....%....:._C..:._..::..c:�.`-:.::....._....................... <br /> ................._......................_..........................................._...............................--- <br /> __........................................ ............... -................---...................................... <br /> _._................................................................................................................... <br /> __.._........_................_.........._............................................- --�-•--......._. <br /> Superintendent <br /> LABOR ANll MATERIAL USED <br /> No. i Size I <br /> ___. . � i T . _ <br /> _.........................i...................._..... ..ead Connection Complete <br /> � ...................................................... S�ddlc Complete <br /> .......................f t......................._... ............................_...__.......__................. ......P i p e <br /> ........................._......._.................. Service Cocic <br /> ...................................................... Service Box <br /> No. Hours Labor._...........................................Cost_.................................................. <br /> Cutin....................Pavemcnt....................X.._.............._.... ........................59.Ft. <br /> ....................X........._..._........ ,� <br /> ........................ <br /> ....................Y......................... ........................ �� <br /> � ....................X........................ �� <br /> ........................ <br /> Total ........................Ciq.Ft. <br /> --------"------- <br /> Remarks_.._.....__.................._.......---...........__.............._..................- — <br /> ... ......................._............._...........---.............. ................................................... <br /> ............................ ................................................................................................� t <br /> OrderRecci��ed............................................................................................... <br /> \Vork Completed............................. _...__........_.... ._....__........ .._........... .. <br /> Foreman <br /> � <br />