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w. u. r�r.� �• / �� • . . � , -. <br />� -CITY OF EVERE�I'-�Wa�er Dept. <br />�ipplication No..L.._.:.1.....:. ;;.: Date ................: �i......'............ � . <br />........19...... <br />! Install .............................. .irch water service pipe <br />� / �� � , <br />� <br />-' � <br />-,. , ,_ , <br />For .._.._._...�......,_ ..:....._...._.__t........_:..... <br />_..........._ ................... .--- <br />On ..._........:.s :l ..........:::.........._ ," ' i Street <br />..............._.. _........ ......... ...._..... <br />i <br />ot....... ........................ <br />............. .............. Block No....._... ......................... <br />Addition........................._.............-_............._......._.......... <br />. . ......................... <br />i <br />Remarks .......... - - ._ ...............:..:,..:'......:...:..`-=.. �..:.::.:..................... ...... <br />LA130R ANU 1ViATF.RiAL USED <br />No. i Size I <br />...................... f t. <br />Z^;�', Connection Comp]ete <br />5 � :dle Complete <br />Service Ceck <br />Scr✓ice Box <br />......... _.... - .... <br />Superi:riendem <br />0 <br />� <br />Nn. Aaurs L�bor......__.._ ................................Cost.................................................... <br />Culin..__ ..............Pavement....................X..................._... ........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />..._....__._..._X ......................_ �� <br />........................ <br />....................X........................ ., <br />........................ <br />Total ........................Sq. Ft. <br />------------------ -- <br />Remarks..;;,..,� ........... .. . <br />.���: � �;.... J ................................................................... <br />...,:. _.........._.........`� ........ . ........__..._................................_...... <br />�. <br />� ... <br />�' /, __. J <br />__ ...................._..; :::...........9 ..� <br />.... ...............................................� .......... <br />Grdergeceived ...........................................................__...........--.................. <br />1b'ork Completed ............._..._.. __ ..................._.._..........._.....__._ ..._ .. � <br />Fnrc:nan <br />