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s l ►.�r xvess ' <br /> w.�.��, � 32 9- ��- �� �.� <br /> ' CITY OF EVERE �=-Water Dept. <br /> ,� � .: �; // �1,J <br /> Application No.�.�.._..`..�..... �ate..`,..ti;:.:._:�....-!!-••.._.._.19:!.. / <br /> . <br /> .,. . <br /> InstalL.......f!�::.....,....inch water servtcr pipe <br /> For ..................._................ .. ......� <br /> .....:......_.................................. <br /> � •� . ............. <br /> On ..........f.�..Q._.7.....,.:: ....?.t..!?�%�.y:. ..----_....... Street <br /> ............. <br /> Ldt::.........:................................................. Block No........_.................._. <br /> ...._ <br /> Addition�......................................................................................••-................. <br /> ► Rei�arlc5` �� .(�.... .:..)..---......................._. <br /> Jl�.. 1r �: b�j`T , ...._......_......_.._.._................. <br /> ...�—/ <br /> � � ... ., <br /> ...................... <br /> . r • 7 ..........."'....... ... <br /> ' °.. ' .. ..��' Pi [/�.� " ...��:. � <br /> � �� �...............r .,,, � !l._1. .�.�`....... <br /> ._-Cfl.^..u.s:t� ... .....2...... ..' � �f � � '. .� .._._D <br /> / <br /> . .!�G ._.a�l`�i�..............�[2f� r <br /> . �, <br /> ............................................................................ ...+...... �_ ./...l.c:..:.t .C�i <br /> upe�tenflenS <br /> � i � e}_ <br /> i <br /> LAB06 AND MATSRIAL DBED �• <br /> No. Size � <br /> �' <br /> ................._.................;,................ Leed Connectlon Com�le:e <br /> .........�...................^L....X..!_t�..... SaddleComp�le"te, ' <br /> ...........-t� �.....lt._.._._:�Gl.�.......... .. ......._�..Q--..�..:.�^.:..',*..:........................Pipe <br /> ..... ..�........................ �,,h n Serv' e Cock� U <br /> ..... . . . <br /> ...... <br /> >xt ' <br /> .........�........................... ............. x <br /> •� a.�1.�1 .L.G R� <br /> ...........1........._..._...3 �.n e-z af. � <br /> 1,,�....._��..... . ,� . <br /> . p .... <br /> . <br /> ............................... . <br /> ....1.........................:;F........ -F;,l.ut:�:v.......�rr..:s:.x.. . ! . ._�..::._..:............�:_.::.._........... <br /> .........._.1...._.... �'.z�--. �' " " � . . .�..._........,�....... .................... <br /> ....J.��,�:'.......... . ....��?::�.:..:..............�:G...Y_ar:L_C�.....�..:................. <br /> i <br /> ............_......................_................................ <br /> ................ <br /> No. Hours Lelwr.....................................:`I.�:Cw�:�.t.c.'.;Z..� <br /> ..........._....... . .......... <br /> .... <br /> Cut in....................Pave�ent.........��..X_if;f............... ��.SQ.Ft. <br /> . ................ <br /> � ;� !.. ' ..........1.��....X'{F............... 9.. <br /> �� <br /> ......._.._.....a. <br /> ''>..n,t�� f_.t`.e ,�` _ ....................X........................ ............_....... �� <br /> �° .................. X....................... ..........._......... ,� <br /> # :��. � . . <br /> To�i �SQ.M. <br /> ,,— , : . : <br /> Remarks....:.:...:.:..............:....�.....,........:............................................................. <br /> ......................................................................................................................... <br /> .......................................................................... <br /> OrderReceived................................................................................................ <br /> \Vork Completed..................................................................................... � <br /> ......i <br /> Foremey� <br /> � <br /> — J <br />