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5 J. PrieLe�M 7��5 2�(�� .• ' � � ` <br />O1.D.Farm� '.� ••. :�� �%J�7 <br />CITY OF EVERE I'T--Water Dept. <br />�1 a�y -t �-, �,> <br />Application Na ................ ....1- Dat4...................---...1...1--.....::....19...... <br />Install .............. �!�.%..........inch water service pipe <br />For ' �i........._;:..:: „ , 1 . �.✓ <br />..............� ' --..........:._:5..:...,_.,........................... <br />�-..:.... <br />On ....................i-�_._r..�.�a---......1...l......:. � ; � .. Street <br />, ,� � ..c�.^.... <br />....................... . . <br />r.�r _ - --� -- - ............... Block No....... �....--------............... <br />Addition ........ <br />Rem�ks ..�..... <br />.... �-.:..... _.. ...,. <br />........_......... t <br />•i„/ <br />.� , _ _ r, <br />� . . .. .: ... ..::...�...:......,.; .... �...,..:.7.�. ......._..-- ............................ .. _. _ .,,. . <br />�.. ,^ � � , . ... <br />' ... ...... . .......... . : . ........... :....'...........................................�.....:....�/..:.:..:.--- <br />��:,',�_�.1 � Supennt ndent �� <br />i � <br />LABOR AND MATERIAL IISED <br />Size <br />� <br />No. Hours LaUo:......... <br />Cut in..._.... . ...1`� vc <br />Lcad Connection Complete <br />Saddle Complete <br />Scrvice Cock <br />Servicc Hox <br />....................X...................... . . ......................Sq. Ft. <br />....................X..................... . �� <br />........................ <br />_ ........X. .� <br />....... .................... ........................ <br />........ .......... \........................ �� <br />Total ........................54. Ft. <br />nemsr rcs.:,: Y ............. ................ _..........---..................... _..........--....-------,..... <br />..................................................................................-............................. .......:..... <br />................................................................ ....................................: ":..........:.......... <br />. <br />Order Recei��ed_ .....................:...................................................................... <br />, <br />�.�..:.:._...�' <br />i . . ., <br />�Cork Completed.. ... � ...... - ..._ ................._..... ............. <br />� Foreman <br />