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- - /G,S`9G - � <br />w. o. ro�w a �C � �, y <br />CITY OF EVERE'IT..Water Dept. <br />� <br />Application No.l�:.: �..% :. .... Date........:�.......: � "_ /.._.....19. � `/ <br />............... <br />I�stall ...............................inch w�ter service pipe <br />Fer................................................:................................. <br />.>' :3C,S -"lL. _ .__� � f( -/c:r ............................ <br />On .....................................................�.._t...:��_e.s::�..........L....... Street <br />Lot...................................................::........ Block No..................................... <br />Addition <br />.......................................................................................................... <br />Remarks ........__ __ <br />No. � Size <br />Supe3intendent <br />L.4BOg AND MATERIAL USED <br />Lcad Connection Complete <br />Saddlc Completc <br />.................� �erv'ci Cock <br />Service L'ox <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ................Sq. Ft. <br />....... . <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ ,� <br />........................ <br />....................X........................ „ <br />........................ <br />Total ........................Sq. Ft. <br />—_ ----- <br />Remarks....................................................................._........_..............-- -- <br />................................................................................................................... ......... <br />Order Necei��ed ....................................................... <br />................................ ...... <br />�Vork Campleted ............................................................._........................ <br />Foteman <br />