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-� �- � � 7/�3 � - - � ' _ _ �� <br /> W. O. /OIIN i / �O C G .�^ . <br /> CITY OF EVERE7T-Water Dept. <br /> Application No...�.�.�..r�:.3.. Date..............:%..-.i - G. � <br /> ............1.........19...... . <br /> I7stall...............................inch water service pipe <br /> For ................................. <br /> _ j........................ .. . . . . . <br /> ............... <br /> On ...........�.� ��' / .c.c_(� L�L_�.......................... <br /> ......................................................... ........................ Street <br /> .. <br /> Lot.............................................................. Block No..................................... <br /> Addition <br /> ....... ....................................................................................... <br /> Remarks ............................................... <br /> ........................................................... <br /> ............................ .............................................................................. <br /> 3.....,,......c.0.............................................................................................. <br /> .../.................1' <br /> ............... .................................... . <br /> `.... <br /> ....._-� , -� � i . <br /> �...�....r..,:>........................................ / f c..t.ti.`................. <br /> �._. �.. .u.....r...............:................. <br /> $uperi�tendent <br /> � i_��_c C_,. <br /> LABOR AND MATERZAL USED � <br /> iNo. ' Size � — <br /> ...................... ........................I Lead Connection Complete <br /> ............................._............... �add:a Couiplete <br /> .......................it........................... ........................Pipe <br /> ............................ . ................. <br /> .................................................... Service Cock <br /> ...................................... Service Box <br /> ....................................... <br /> No. Rours Labor..............................................Cost......................... <br /> .......................... <br /> Cut in....................Paveenent....................X........................ <br /> ........................Sq.Ft. <br /> ....................X........................ ,� <br /> ......._............... <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> -- Total ........................Sq.Fl. <br /> __`--- - _--- <br /> Remarks....................................................................... <br /> ...................................... <br /> ......................................................................................................................... <br /> ......................................................................................................................... � <br /> OrderRecei��ed............................................................................................... <br /> 1Vork. Completed................... <br /> ......................................................... ... <br /> . . ........... <br /> Foreman <br />