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vL O. fORM <br />-CITY OF EVERE'I—f--Water Dept. <br />1�; .03 . <br />Application. No ................. Date _. _y...... .�.............._.........19......' <br />7 Install s..._..... <br />................ ...inch water service pipe <br />For ..:`C......../ 2.........cfL�.t .f:C Lc.� . syLi�.................................. <br />On 22.l.'..........�.aS�s/_....... Street <br />.... (� <br />Lot......................................................... _... Block No ........ ........................ -- <br />Addition .................................... . ......................................................._........... <br />. <br />Remarks """"""""' <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. I Size <br />.............I Lead Connection Complete <br />... .......... <br />I Saddle Complete <br />.................................. _...... _...... <br />_......... Service Cock <br />............. Service Box <br />ri <br />...?....-1...0.-...:....................................................._........... <br />OrderReceived ... ......... ....... ................................................. ....._.._............... <br />l ork Completed...._ .............. ................. or"e,........... <br />................................ <br />Foreman <br />