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� � /7D9� / �. <br />w. b. IO�M ] -. . ✓ � .s� q.� <br />CITY OF EVERE'IT--Water Dept. <br />PP c' ; ,�.�,,/ <br />A licatio��No..�7�'..../....:.. Date ..............��...................Y.........19...... <br />Install ............ ................. .inch water service pipe <br />For................................. <br />.^ � ............................................. <br />On ..........�.°.�......i.]-i:?-?.<..._�cr�2�:J .............. <br />Lot.............................................................. Block No. <br />:Idiiition ..................................................................... <br />Remarks ........ ............ <br />Street <br />.................................................................................................................... <br />........................................................................................................................ <br />................................................................. .�....�.... ...... <br />..... .. <br />.. . .. .. .. ...... .. ...... <br />�� /� . � <br />..................................... ..................................................�..........-----........ <br />Superintendent <br />./ ✓. . <br />LAAOR AND MATERIAL <br />Lead Connection Complete <br />Saddle Complete <br />........ Service Cock <br />........ Scrvicc Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ <br />........................Sq. Ft. <br />....................X........................ .� <br />........................ <br />....................X........................ „ <br />........................ <br />....................X.. .................... �� <br />........................ <br />Total ........................Sq. Ft. <br />-- ---'- ---- <br />Re m a r ks ................................................................................ <br />.................................... <br />Order Received........ <br />\Vork Completed...... <br />e <br />... �'.i...... .. <br />Faremiiu <br />