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t- <br /> a .���/ � � � �..;��. r�cj . <br /> W. O. fORM <br /> � CITY OF EVERE'I`T--Water Dept. <br /> Application No.I...::'...:~.L..�... Date......._.S�_:..�..........................19.�'.:. { <br /> , lnstall.....................s......inch water service pipe <br /> r <br /> r��. :��.- �r .(, <br /> ......�1��: .R�K..:......_.�.....:��.:................................................... <br /> ;. [> <br /> >>'4Y...:.�:..:s.f.:1... � Street <br /> O„ ..............1...I....'.... ' .............................................. <br /> Lot.............................................................. Block No.............................-----�-• <br /> Addition .......................................................................................................... <br /> Remarks ..................................- . . . . . . . . <br /> i ' <br /> . .... <br /> .... .......................... <br /> i'� � <br /> ..............................................4.. .t:�:e�.:.,.�.::..�cs;t.::'.................---..........--�--- <br /> .............................................................................................................................. <br /> .............................................................................................................................. <br /> ............................................................................................................................. <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. ' Size � <br /> I...................................................... Lead Connection Complete <br /> ........................................._........... �addle Complete <br /> .......................f t............................I .......................................................................Pi pc <br /> ......................_............................. Scrvicc Cock <br /> .....................--.........._.................. Service Box <br /> No. F?ours Labor.... .........................................Cost..........................._....................... <br /> Culin....................Pavement....................X........................ ........................Sq.FI. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ .� <br /> ........................ <br /> Tot;1 ........................Sq.Ft. <br /> --- ----- --—' <br /> Rc�na rks........................................................ ................................................... <br /> ......................................................................................................................... <br /> ........................................................................................................................ <br /> Order ?2ecei�•ed............................................................................................ . <br /> \Vm�k Completed..................................................... .................................. <br /> Foreman <br />