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// <I'C i <br />w. •v. ronw ;I � /'' <br />� CITY OF EVERE?T--Water Dept. <br />Application No..�.1'�//.�... Date...._....:�.�..� .......................19_1:,� <br />! Ir.st�ill ...�.../.................... ..A...inch%� ater service pipe <br />For _!:�r.,t�,.lt..�6a.x�.i........��f ...�.Yl�L.�[:' :.................. ........ <br />. ._.. <br />I.�C�..�..........0 _�i-r.�.>.,...L:.,.`.:�....::�.!.._!..:::.... Street <br />On ............. .. . <br />Lot.............................................................. Elock No................................... <br />Addition_._.._ ..............................._..._.._._.................................................... <br />Remnrks................................. ._ . . ......�.._._.............................. <br />.. ... ........ <br />. - , <br />................................................ � .. Jk2.h.:�Q�.c�4.�?�:......................'_"""' <br />.� ........._...._ ................._..........._._............................__"' <br />. .� ....................:........................................................._........ <br />J- 2U -G,'-J <br />� <br />...................... -- - - <br />Superinlendent <br />LAiSOR AND hiAT[?iiIAL USED <br />Le�d Cunncctiou Complctc <br />S�Shcc Complcic <br />..... ................... <br />Servicc Cock <br />Scr�icc F3ox <br />... ...................... <br />............ _ ........ _ ................ _.............. ..... <br />............._ _...__..._........................ ....._. <br />.................._................................ .._... <br />No. Hours Labor .............._..................._..... <br />� C�t in........_..........P�i�ement_ ..................X. <br />.................... X . <br />_ ..... ............Y. <br />X <br />........................Sq. Ft. <br />........................ .� <br />........................ �� <br />.................... ..................... <br />Tolal .. ............_.....Sq. Ft. <br />�,_=-�___.___ <br />Re m a rks ....................................... _.............. ................... _.......... ................... <br />Order Received..._ ......................................_.... <br />\Vork Cmnplc.ed_._ .........................__._.__... <br />............_........._... .._......../ <br />_ __. ._._.. ... _ __. .' <br />Fu�em; r <br />