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w. p. roar <br />,�S'� 3 cj � .�` ,s� <br />� CITY OF EVERE`�'T--Water Dept. <br />, ., <br />rlpplicaticn No%_S.L:.::.)..C... Date ..............,�:'.::../............... ]9._�'� ; <br />7nsta1l ... ...........................incl� wa;er service pipe <br />F��� .._��:,.t.,:�.:: �z.��:�.-,:s-:.. <br />.. ............................................. <br />- �� <br />�. . ... <br />On...........r�.. �..�..C..._....._.._.....�..1...� .::.................................... Street <br />Lot..._! �j � �%;��'�G�-�. �r. ,:..`: �... Block No ..................................... <br />Addition ..................._..........'.t.. <br />................................ .................................... <br />Remar}:s ................................ <br />/ . .. - .�t ...... ................................... <br />-.l..: ��:.. a �.Y...:c.:.C, � ,.=. <br />........................................... .. .. .............................. <br />..........................................................................................................• •------ <br />..................................... ............................ <br />............................ <br />Superintendent <br />L;1BOR ARD MATGRIAI, USID <br />l�V. JIZI' I <br />. ._ . ..'_. . ._._____ <br />...........................I.......__.........._...I :.cad Connection ComPlete <br />..........................I..............__.........I Saddlc Complcle <br />......................it.�...........................� .__............_...................................................Pipe <br />.........._ ..............._...._................... Sen�iccCock <br />...................................._................ Ser:ice Box <br />........................... ..................... .... i _ . <br />_....._ ........................................... .................... <br />No. How�s L�bor ..............................................CosL................................................... <br />Cut�n .......... .........Favement_..................X........................ ......................_Sq. Ft. <br />....................X........................ ,� <br />........................ <br />_............_....ti.........__........... �� <br />........................ <br />.._ ...............X......................_ �� <br />................. ...... <br />-' Total ....................... Sq. Ft. <br />---�---- ---- ----- —_ <br />--- <br />2:emarks_.._- - ...................................._.............. _........... .......... .............._. . <br />.......__ .... ................................._.._........................................ .................. <br />............ ....................................................... .................................................... <br />Order?7ecei�•ed.........._ ...._.._ ............ .......__.._ ...................._............... <br />\Vark Complcted_....._._...._..._ .. ...... .... _ ... . _ __........_....... _ . <br />Foreman <br />