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3�4 , {,�� <br />5 (/ v <br />w, o. roaM ! <br />� CITY OF EVERE"]`T--Water Dept. <br />,- -, , , {-- / .�s.C.:.=i <br />Application No.�:. �..�:...�..�. Date.........._s ................................ <br />n "�st ...� ...........................inch water service pipe <br />/ / /, ..... <br />Far _.::sJGt..:�,.�.�......(.. �(..=1�:�z ........................................................ <br />,..���.:2.�.�.........�y1.:.�[?.::�`��:.� ................................... Street <br />On........:....... � <br />Lot.............................................................. Block No..................................... <br />Adiiition........................................................................................................ <br />Remarks ' `rr` .:................................. <br />............................��........................... ... _.. <br />. <br />.................................. <br />...............................................1..:.�::t.[:::.sr}/C.?.:. ,. <br />.'i•�perintendent <br />LABOR AND MATERIAL USED <br />Size I — <br />--� -- <br />............._... :.cad Connection Complele <br />................. Saddlc ComPlete <br />.................. <br />........................................................................Pipc <br />........ ......... Scrvice Cock <br />_.... Service Box <br />No. Hours Lsbor .............................. <br />Cut in ....................Pavemcnl........... <br />Total <br />Remarks.. <br />..._ ... ... <br />........................Sq. Ft. <br />........................ �� <br />........................ �� <br />....................... �� <br />. _ .....................Sn. Ft. <br />� <br />........... ................. _. ........- — <br />. <br />Order:teceiced ......................... _....._.................................................. .... <br />� . . ........_............_........_........Foreman <br />\Vor}: i:ompleted ......................_ _... <br />