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9. J. I�RICBE ]M�� �� � � . <br /> W. O. �OFM � <br /> CITY UF EVERE'IT--Water Dept. <br /> Application No„�"t- .._ - ^ 7 �".� <br /> ,T,:��. Uate............ ._ry�:.�...........--.19:..'... <br /> Iastall..... .y.. .. ........ .�nch water service pipe <br /> F�r '� - � �'�� <br /> _ . ..... -t�i��^..:.... ..r_�;>� . ..��._--.......................... <br /> . _.. <br /> On _......��....�.�'. ......v.�'.,'-��:rr�-:............................................ Street <br /> /......��s:�._lr.?�_..... Blo_k Ko....�.c�..... <br /> i,at....---....�_ . <br /> ��......""" <br /> Ad�lition . .................................................................................................... <br /> remarks .._.e2Zo.�rJ.:,�2�.c�=,..-.._.... . -.. . � <br /> � ��f�.-.�.�.�:r�:�/.............. <br /> .�.. .�_:=�-•. <br /> �L........ ...................................................................... <br /> , <br /> .......................... �C................................... <br /> a �" ............................................... <br /> - <br /> _........---..... r� �b.�.�............................---�----........ ......_................_........ <br /> �....... <br /> _ ., � ..�,�.._up�. <br /> ., .. .��.�-� . . . <br /> ..... .. ................................... 5 e <br /> --����n,,� . . .:� :ucnt <br /> ��-�_ yh .. <br /> � LA30R AND DfATERIAL USED <br /> No. i Size <br /> ..___......................... .........._..--_ <br /> _ _____ <br /> � —_— <br /> �__ . . . i Lead Connection Comple.e � <br /> ...........................I..................... . �addle Complete <br /> .._.........�.��..ft.�.........:.i............. ... ..�......_..._......__..-�---....................................Pipe <br /> .....................L...........�..:............... Service Cock <br /> . � �. <br /> .....................1....,,:.,.:.r.�-da...... Ser�ice Box <br /> _....__.................................__.._.. ....._..................._......................................_............................................ <br /> .�...__...._........... ..........._................ .............................................. <br /> Nn. I{om�s Labor..................................._.........CosL.._.................._........_................. <br /> Cvtin.....__..........Pavement.................._X...............__..... .............._........Sq.Ft. <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> ...................X...._................... �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> --- --- <br /> --- --- <br /> Pcr.iarlra... ' '• ----- <br /> _............................1..._......_...�.._...................................._.........._... <br /> :/ <br /> ........................................................ <br /> prdee ;'ecciced._.................................................................._........................ /I <br /> l'vnr1. Cbmple.ed._`;..../.:...:..:':...............�.��1.:::...._...�. / <br /> . . __................._...__. <br /> Foreman � <br /> / <br />