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59 <br />W. N.ba] 4n <br />J.i <br />S. J. Pra - <br />CITY OF EVERE'rf-Water Dept. <br />Application UPPER---- Datc---1----- 2 ---------19____ <br />Install.. _ _ _ -,-: _ _ . _ .inch water service pipe <br />For----------------------- —_._ '.ham__..._-----.-. <br />On ------•----- --------------- Street <br />Lot------- --------- Block No— ''`` -------- <br />Addition ... �•------------ -----•---- <br />ar, '- BFat LABOR AND kI.T�R1AL USED <br />No. <br />Size----- <br />_______________ <br />.__--__- --- <br />Lead Connection Complete -- <br />_______________ <br />_______________ <br />Saddle Complete <br />_---• lift .... fr. <br />----- n '_'-' <br />__ ep-l�Y.t (/- -----'----Pipe <br />......... <br />._R0--------- <br />Service Cock <br />_______________ <br />____._ <br />............... <br />Service Box t^ <br />LeLrSlI�J:__.._._ 'SSG �'%!�-------------- <br />No. Hours Labor __________________.?._Cot- ____..______________________ <br />Cut in ------------ Pavement ------------ X_------------- ---------------Sq. Fr. <br />------------ X.............. <br />___X _____________ _ <br />X---- ------ „ <br />�.� Total ----- --------- Sq. Ft. <br />Remarks------------------------------------------------------- <br />------------------ ------------- ------------------------------ <br />--------------------------------------------------------------- <br />Order Received ----------------------------------------------- <br />Work Completed--------------- ---------------------------- <br />