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�' �p7w. o. ,�� . . -� � � <br /> -� '� CIT��' OF EVERE'iT--Water Dept. <br /> Application No_�:��`4:L.... Date...........1:�?`._�:::_.......---.__195...;, <br /> Iastall._............................inch water service pipe <br /> For .._..............._.............. ..............................................................---�--.... <br /> On .....---....1..._::'./...:'<:.-._C:f:�:a.r...�:i._................- --......... Street <br /> Lot........................................................... . Block No...................................-- <br /> Addit.ion ............................................._.._...............__.........................__..... <br /> Rema�rks ..f.�<.�,rr.�!�.l.c.:<.............................................................-............ <br /> ...................................--._.........................._ ...--........................................ <br /> .... ......................_....... .........---.................. .--........_..........................._...... <br /> .. ........................................................................... ...................................... <br /> _.........._....................... ................... ................_..............._ _......... --�--- <br /> Superintendent <br /> LABUR AND MATERI9L USED <br /> No. � Size I __ __ <br /> _____' ____ <br /> ................................................___I Lead Connection Complete <br /> ..................................................... Saddle Complete <br /> .......................f t............................ ........................................................................P i p e <br /> ..................................................... Scrvicc Cock <br /> .........................__...............:......... Servicc Bax <br /> No. Aours Ls��or..............................................Cost.................................................... <br /> Cutin....................Pavement.._................X........................ ....................._.Sq.Ft. <br /> -........._.......Y..._....__._........ ............_........_ „ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ....................... <br /> Total ................... .Sq.Ft. <br /> — --- --- <br /> Re m a rks................. ........... .......... ...... ............................................................ <br /> ................... ................................................................................................. <br /> ............................................................................................................................. <br /> OrderRecei�•ed.............................. ........................................................... � <br /> \Vork Completed...... ...... ..........................................._._.._..... _......_........ <br /> Farernan <br />