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n .�. rwiier _ �%,. .:" <br /> �M �1� �� _ � <br /> W. 0. I01�1I] -- <br /> CITY OF EVERE?"!'--Water Depr_. <br /> Application No......�..�.._./..........�, Date.-_fG...-......�.."-...........19.'.� <br /> lnstall...L._�:"..................inch water service pipe <br /> For ...................^.................---.............t........... <br /> � . . ............. <br /> ..... '' /..�'. r�.r.._ <br /> .... ...................•••--- <br /> o�, ................_ �:../...�.,.�.-.'��......----�r-......:......:....:....................._... street <br /> Lot.................................�., �iL�/� <br /> ...---•---�--_....... Block No.......i...:_................... <br /> Addition ........................r�-a............................,......................._....-�---.......... <br /> Remarks ' t.,'.� �r.' � <br /> ....................�....�...... ..........r.:�.::L..................---..................... <br /> ..........................................................._..........................................................---.. <br /> .. .. . _.. . .. .. . <br /> ' •-- <br /> ... .. ........................ ............. .... ........................ .......••- --...-- --- <br /> .�-z �.. _.. ....... <br /> ........_...... ... ... . .. . . • -� - - .n....._........ .....-----......._....._ . <br /> ' J "" <br /> ................................ <br /> ...........................................................r..:..lE:.�!�"'•••_?-G_/_LG' <br /> . . ................. <br /> ����� Superintendent <br /> i � <br /> LA.NOR AND MATGRIAL IISED� � <br /> _ No. Size � <br /> ------ <br /> ................._................................... Lcad Connection Complete <br /> ........_....._.................__..._.......... EnddleComplete <br /> .......................it._........................ ........._....................._......................................PiPc <br /> ..................................................... Setvice Cock <br /> ...................................................... Service 3ox <br /> No. Hovrx I.3Uor..............................................Coat.................................................... <br /> Cutin....................I'avement....................X......._......_...... ........................Sq.Ft. <br /> ....................X..........._.._....... .� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ......._............... <br /> Total ........................Sq.Ft. <br /> --------- ---- -- <br /> � , <br /> Remarks....�/................:..........---...................-----.... --......._..........................:. <br /> j <br /> ....................................................................................................._...:............ <br /> ............................ .................................................................�..j' <br /> ......::............ <br /> OrderFeceived.................................................................:....- ..................__. <br /> '�Vorlc Completed..................................._........_...............�.............................. <br /> Foreman / <br />