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_S' � SD � � �> � <br /> w. o. .dI , - '� ���: I <br /> CITY OF EVEREI�I'..�7tlater Dept:. <br /> ( � <br /> Application Nol.,�i..:�:i.�i... Date..........d...._. � <br /> ......_....................19_�:�,{ <br /> , Install........�.................../,inch water se,-vicr.pipe <br /> F�r ....�.L<:.:}...�;.a........ L.t.�: � � 1 1. <br /> . . .r_:_�.:..�L'.............................. � <br /> ^ . . :1� .......... <br /> On ...._...:. ..C.:...J...:�.........../.J..'.fi.l:t.a.ti�,l...... <br /> • � 4 . ................._....... �tTt?2f � <br /> Lot.............................................................. Block No..................................... <br /> Addition ........ ............................................................. % <br /> Remarks ................................... <br /> .............................�.:....... ................... <br /> , . .....................•- <br /> ..........................................�-.. 1.t,:..:..:j -�. <br /> .: � ..�4.:.<:t:,ti:.:............. <br /> ..................................................................... <br /> .................................................. . <br /> .............."...................................................... <br /> .................................................. ' <br /> ......................................... <br /> ........................ I <br /> _ Superintendent <br /> -- --�_— <br /> _ LABOR qND MATF.BIAL USED <br /> _No. Size � <br /> `�"""'�""""" -'�-•�-���-� �..ead Connection Complete <br /> ........... * <br /> .....................................................� Saddle Complete <br /> ........__...........ft............................ <br /> ......................................................................Pipe <br /> ..... . .............. .. <br /> ..........._.............. Service Cock <br /> ..... .............................................. Service Box <br /> ..................... ........ <br /> .. �� <br /> ....................................... <br /> — ' ..................................... <br /> No. I7aurs Labor........................ <br /> . ....................Cost.................................................... <br /> Cut in.......__.........P:., :mcnt...................X....................... <br /> I� ' ........................Sq.Ft. <br /> ....................X....................... <br /> ......._............... �� <br /> ....................X. <br /> ................... �� <br /> .. ........................ „ <br /> ....................X........................ <br /> ___.____� Total <br /> � ---__ ..............._.......Sq.Ft. <br /> Remarks......................................................... — <br /> ............................................... <br /> .......................................................................................... <br />� .. . .. .. . <br />� .. . . . <br /> ..... ... ..... .. ..................................................................................... <br />� Order Receiced.................................................... . ....... <br /> ................................ ..... <br />' �Vork. Campleted......................_........._..._..... <br />� .......... <br /> .................. . . <br /> Foreman <br />