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76G � ���' �� �-�}�.�� <br /> S.J.Pri�b�{M 7A629 .i . - �': <br /> VJ.U.Porm] <br /> CITY OF EVERE-TT--Water ept. <br /> / '� .. / � <br /> � <br /> � rl l� �J DatC...................:::.. ...J..:�:..........19.�...r <br /> Application No .:.T....�....,�.•....• <br /> ,, �-�� ..inch ater service pipe <br /> � _Install........ _ <br /> . " - <br /> i � <br /> . <br /> ,�..� �' .�, .................. <br /> . <br /> _ ... <br /> , • ±� � <br /> ,. � _.;_,��; � . i��,,.....t..'. 'i................. <br /> For �..........................._....... , , <br /> ......._..:..... - <br /> � � -� .... Street <br /> / :�..:.�?:......................... <br /> o�� ..............�.-�....:��..1............... (/ <br /> Lot.............................................................. Slock No...........-.•---•--................. <br /> Addition ........ .:�..............................1............................................................--- <br /> J� � ............... <br /> � � . , ;_.: t -'.........--- ............... <br /> Remarks ....�:.;.:.:..:.._...,.ti............. <br /> ��.. ....:.... <br /> ..._.... --r �I.a...�-.w-_f°_T7y7�k'i�J1�....------.......-'- <br /> . <br /> .. <br /> , . -i. __. . -"�.--'-ex—.� <br /> . ._ , .-.�..^..�a...... <br /> ..... .�.:.:.........::................. . � <br /> ,r <br /> �:..;......J................:............. ..._ . . <br /> .� �; ,, -..f..........................................................'„-..... <br /> � � �,..�..............................................-...---......_ �/ � j <br /> . ...... ' <br /> _. . J../;_......_..ry , ,_< <br /> �, �, .� _ .............._............................._ <br /> ...:._...�:::....�1:...... <br /> � -���--��-�""' Superintendent , <br /> ...:.,� .r...t.. . ,(: ./ I — <br /> /G' /�'�'7 / �.— . <br /> LABOR AND MATERIAL IISED <br /> No. Size � _ <br /> ------ — <br /> Lcad Conneclion Complete <br /> ...................................................... Saddle ComPlete <br /> ...................................................... <br /> ..................................................................... �Pe <br /> .................. <br /> .....it............................ .. . <br /> Service Coc <br /> ..................................................... Service Box <br /> ........................ <br /> ... . <br /> No. Hours L�bor..............................................Cost......................................._S4.Ft. <br /> . ........................ <br /> ........................ <br /> Cut �n...................Pavcrr_n .................... �. <br /> ........................ <br /> .................... .:...................... ,� <br /> ....................X........................ ........................ <br /> ....................X........................ <br /> ........................ .. <br /> Total .......................Sq.Ft. <br /> ---�---- ���• -.- , �� � . <br /> Remarks......'. .� '...:::i .....:.1..:..�:ri:�.:.;,�...::.............................................. <br /> f ,,�.... 7. , <br /> ...................... .......................................... <br /> ......................._...................................... <br /> OrderReceived.......:............................ ......................................................... <br /> ._'..:............�.:. <br /> \t'ork Comple.ed.................:........... <br /> ...._................................... Foreman � <br />