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•� � <br />� � - <br />w. o. roew a , � .( - .. .'%�:%/ <br />� � CITY OF EVERLTT--Water Dept. <br />Application No.!.:!..!Lfl...._... Date ...............- --1..-. � :::..'%--.....19..--- <br />Install ...............................:nch water service pipe <br />For.................................................................. ............................................... <br />On ......................�_.^.:::;�.....��/:r::��4�:d:::...:�'�f ............... Street <br />i.nt ..........._.. Blocic No ............................--...... <br />Addition.................................................................... .................................... <br />Remarks .....�........ . . <br />� ....................................................................... ... ............. <br />..................✓:_l�� �... <br />...................................................................................... <br />,;� �:, <br />LA60R AND MATERIAL USED <br />No. � Size � __ � <br />Lead Connection Complete <br />Saddle Complete <br />Scrvice Cock <br />Setvice Box <br />No. Hom•s Le <br />Cut in .............. <br />....Pipe <br />........................Sq. Fl. <br />........................ .� <br />........................ �� <br />....................� ....... <br />Total ........................Sq. Ft. <br />- - <br />Remarks............................................................................................................. <br />..................................................................................... <br />............................... ........................................................ ............................. <br />� <br />OrderReceived ................................................................' ......................... <br />\Vork Completed ...................................................................... ................... <br />oreman <br />