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Lww PRISYT� �� �t� L' V/ ^��� <br /> W. G. IORM ] t v ` � e� <br /> CITY Lr •EVERE --Water Dept. <br /> Application No......�.:!..:.�./. .1Da e. �� . ..19�� <br /> . .... . <br /> ......_............. . <br /> � �5�.,f ••• •...........i9ch water service pipe <br /> For ..................._... .... ...................... <br /> c:.,.✓ <br /> � / � � 0_.. e ..................................... <br /> on .......................................C:.....c�-fu,a� . screet <br /> ......................... <br /> Lot........................�a---....................._... Block No.......�.77�'..._........_ <br /> Addition ...................................................................................... <br /> .................... <br /> F.emarks -•..... ................................._. <br /> ....................................................... <br /> .....r......... ........ <br /> f � �.� -. .........--�� �,� <br /> ........... <br /> -- � . ..-- <br /> .....1... ...............�...----- <br /> - <br /> .. ... . .. . . , <br /> ..... ................ ......... <br /> ^.� - .. <br /> ....... - - - <br /> - . . .... ... ..._. . .. . <br /> ...--•............................. <br /> .... ... <br /> .:.::....p:_a.: .. .... ............ <br /> ........................................... <br /> , � � /� �J�� ... .. .......... ....... <br /> ' r\ } ' P ten t <br /> ( <br /> ,.•��.LABOR AND MATERIAL II9ED � <br /> No. -. .Ske', � <br /> - . ....� <br /> ...................................................... Lcad Connection Complete <br /> ...................................................... �addle Complete <br /> . <br /> .................r�,fk_..1�..:i........._.... ..:.�r�:..�.,:(�:S-:\................ ......Pipe <br /> ....._':..:�:.......... ' v <br /> ......._............... <br /> ................... ........ . • Service Cocic <br /> .................._........._.............,......... Service Box <br /> No. Hours Labor......................................._.....Cost....................... ... <br /> ...._...................... <br /> Cutin....................Pave:nent..............._...X......._......_....... ........................59.Ft. <br /> ...................X.............._.._... �� <br /> ......._............... <br /> ...................X........................ �� <br /> ........................ <br /> ...................X........................ �. <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ------ — <br /> Remarks.............................._r.'�..._E:x!a.....x�Crua-...l... �:���......_ <br /> ..................................................�!.r.ft....:.....;::..:x.��.;rt:,..................................... <br /> ..........".........................."-'................................................................................... <br /> OrderPeceived............................................................ <br /> ................................... <br /> 1Vork Compl=ted..�.`/...1..'.S_.j...................g:�?.l�:.�-1:.E::�.�......._...... <br /> Foreman <br />