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w. o. ronu a ���1/ ♦ �U� Uo / <br />CITY OF EVERE'if--Water Dept. <br />Application No..l iz.. t.r .. Date........................19...... <br />Install ....... ...................... .inch water service pipe <br />For.................... .................................................................... _......... ............ <br />On ...............,Jr, Q.1....... 2 �...-,:: � V� lf-/,Z,K" ...164 Street <br />Lot.................... ...... _ ................ ....... _....... Block No ................................ <br />Addition.......... .......... .............................................................. ...................... <br />Remarks ... %.�� <br />.......................iI..L��........._......_......_................................_.............._... <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />........................ <br />Service Cock <br />Service Box <br />No. Hours Labor ........................... .................. � osc......._.................._....................... <br />Cutin .................... Pavement. ........ .......... X ... ............ ........ ........................Sq. Ft. <br />....................X..................._... .. <br />.................... X............... ...... " <br />Total ........................Sq. Ft. <br />r <br />OrderReceived ............... _.........................................................._.................. <br />WorkCompleted......................................................................................... <br />Foreman <br />