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1 ' t/ <br /> M, o. ronr+ / <br /> ,�3Z / '�"c= �. , <br /> , � _ `CITY OF EVERE�T--Water Dept. <br /> , �; .. , . _ <br /> Application No.�.�.'..�r..rl. I Date........�:..:.�............................19.L.::l <br /> - I�stall............................. �inch water service pipe <br /> / L . <br /> ............ � I. <br /> For �_.t::..:'.Is.:......5./.::;:.<.zL..:;�............_..................................... <br /> . , . <br /> -� <�!� �� f...:::l�s.��.......<.::,.s::i_c::t.�.:..... Street <br /> On ....................................... <br /> Lol.............................................................. Block No... ......-----...................... <br /> Addition .............................................................. ........................................... <br /> Pemarks ....................................}...........................�....................................... <br /> „ , . . . .. ....................... <br /> ..........................-..................�...1._"---..::....._s..s.:�:<:�......... <br /> ...............................................................................................................'--'---'--.... <br /> ...... ................................................................................................................ <br /> .................................................. .................................................................... <br /> Superuetcndent <br /> LABOR AhD MATERIAL USED <br /> No. Size � <br /> -- --- <br /> .............._...._�Lead Connection Complete <br /> ..................................................... Sacidle Complete <br /> ......................ft............................ ........................................................................Pipe <br /> ..................................................... Scrvicc Cock <br /> ............................................:......... Ser:ice Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ................. Sq.Ft. <br /> _-- ----- ------ — <br /> Remarks�,..,-.-.......,_........................................................................................ <br /> �'� ` .: .y' �4 <br /> .. ............... . ............_:.....:.......... ... .......r........._........................................ <br /> ! .... <br /> ............._f.r,�...�/...L2...-L....�.......................................... ................. <br /> Order ]2ecei��ed................................................................................... ......... <br /> \Vork Complcted.............................................................. _.................. ... .. <br /> Fareman <br />