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� <br />/ ; „/�n i <br />w. o. r�w a�� � ✓ ��. <br />--CITY OF EVERE T I'--Water Dept. <br />Application Na.�::.:.�='..�.. Date...........�:�� .:............................19:�.:� <br />I7sta11......._�.Y ................inch water service pipe <br />Far....:�4.f.?.�?.....d..Zv0.4_'v ....................................................... <br />- : -- <— <br />On ........:r.,_—' %�--� �:. � �; --.......... Street <br />. ...................... . ........................................ <br />Lot.............................................................. Block No.............--�-�--................. <br />�dclition ....................... <br />Remarks ...........c�::::_.�: <br />i .!' . ' <br />......................................................................................... /�. ,_s. <br />..................._....---.. <br />Superinlendent <br />iL :. <br />LABOB AND 11fATF.RIAL USED <br />Size <br />Le. d Cnnnection Comple.e <br />Saddlc Complete <br />Service Cock <br />Service IIox <br />?Qo. Fiow�s Labor_........._......., <br />Cul in ....................Favement. <br />........................Sq. Ft. <br />........................ �� <br />....................X........................ .. <br />........................ <br />....................X........................ �� <br />........................ <br />Tolal ........................Sq. Ft. <br />-- --- ----- -- <br />Remarks......................................................._ - - __ _ <br />........................................ <br />Order Receiced ............... <br />\Vork Completed........... <br />