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w. r.. ron.#o � � 4 � � . <br /> CITY OF EVERE7T--Water Uept. " <br /> Application No..........`.._..._...: Date.....................i�..._...:�.............19...t.: <br /> 7�stall_.............................inch water service,�ipe <br /> c - <br /> For ......�� ........:....:.......:.-�--.::..:_c......_..�-... <br /> ............................................. <br /> On .......__:. -.--.t..:..::.../...............:..:....:::.....L..... ....:... ..................... Strcet <br /> Lot.............................................................. Blocic No................................_.... , <br /> ^ddition ........._............................. <br /> ......_................_.........,............. ............. <br /> Remarks ................ ..........._�..�.._-•--_:. . . t....� : ..._.: <br /> .... .............. <br /> _...........................-- ....................._......................................._.-----......... <br /> ........................................................................................................................ <br /> Svperintendent <br /> LA60Ei AND hY:�TERIAL UST:D <br /> Na. Sizc I <br /> ___ <br /> ..........._......... ..............................i Lead Conneclion Complete <br /> ..................................................... Saddle Complete <br /> .......................f t............................ ........................................................._..............Pi pc <br /> ............_._...._.._..........._.............. 5ervicc Cock <br /> ................................_._........._...... Scrvice Box <br /> Nn. Hom's L�bor....................................._.......CoSt..........._........................__......_... <br /> Cut in...........__.....Pavement.__...............X_..............._..... ............_.........Sq.Ft. <br /> . .................X_...................... ................_..._ ., <br /> ... ................X........................ �� <br /> .........._..._..._. <br /> ....................X........................ �� <br /> ....................... <br /> Total ........._...........Sq.Ft. <br /> ----------- ---_�------- <br /> =_—_, <br /> Remarks................................................................... .._.................................. <br /> ......................................................................................................................... <br /> .................................. .............._..............................._..._...................... <br /> Order !Zeceiced . .................................................._.................__... <br /> _._......... <br /> �Vark Cmnpleted.....................................__......._... .._. ._.......... ............... .. <br /> Fareman <br />