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�S'3 2 9 � { `;��„ <br /> w. a. .ow , ` <br /> CITY OF EVERE"1�I'--Water Dept. <br /> Application No.�.�Jf..._��..:�.`j. Dat�........_�.`...�.........................19..G^.:� <br /> / /7nsta1l../_..,........................inch water service pipe <br /> For ..���c.L��a�.......:rl..✓�.:G.�i.�t_!.................................................... <br /> f�—�:.........��].�.r...2.e.....Y...'.:............................... Street <br /> On .............................. <br /> Lot...�..2..�1�..../L p..T..*...f�.�..\........... Block No..................................... <br /> Ad�lition .......................................................................................................... <br /> Remarks ...........................................:..........._�...;..................-•-----.. ........--�- <br /> .............................................L..��..l.L..,.�r..;/_LL..0 i.aa.!.:.................................... <br /> ......................................................................"'.........................._.......................... <br /> ............................................................................................................................. <br /> ..............................................................."""""'"' <br /> .................................................. Superintendent <br /> r <br /> ' LABOA AND MATERIAL DSED <br /> _No:_' S, _ �`e I �ead Connection Complete <br /> ._......._................. .................._I Saddle ComPlete <br /> .......................f t............................ ........................................................................Pipe <br /> ..................................................... Scrvice Cock <br /> ............................ <br /> .......................... Scrvicc Box <br /> No. Hours L�bur..............................................Cost.................................................... <br /> Cutin....................Favement....................X........................ ........................Sq.Ft. <br /> ....................X........................ ......._............... <br /> „ <br /> ....................X........................ ........................ <br /> �� <br /> ....................X........................ ........................ <br /> �� <br /> Total ........................Sq.Ft. <br /> -------'-- <br /> Remar ..................... ............................................. <br /> .......................................... <br /> .......... .............................................................................................................. <br /> OrderNecciced..................._....................................................................... . <br /> \Vork Completed......._................... ................._.......................................__ <br /> Fareman <br /> , <br />