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1 ���G . �. ,�ii�,;� ; �. <br />w. o.'ronr+ a � <br />CITY OF EVERE"IT--Watr� Dept. <br />- / ��na i ue: <br />ApplicationNo.�..'�L.%.N... Date..........._ ..................................19...... <br />� in�tall. ......_ ..�..,�....,....�.....-.i.n�ych waTter se�rryvi%ce� pip�e/ <br />. <br />.—.r.w---��-�r—"i--�i.�l7�C.�'�.'!.: .�.L�{.!L I/.�'Ir� <br />. ... _ ..�...._.. . <br />Ott.....�.�.�..�...7-.c�.� ............................................................ Street <br />Lot............................................................. Block No..................................... <br />Addition......................................................................................................... <br />Remarks . ...... . ...... . <br />................................ ....... <br />.......................................... . <br />.................................. <br />......................... <br />_.._ .............................. _... <br />............................... ..... <br />LABOR AND MATEftIAL USED <br />Lcnd Connection Complet^_ <br />Saddlc Complete <br />. _ ........ _ _ .................... _--............ <br />Scrvicc Cock <br />Servicc Box <br />... .........._.................. ................ <br />Superintendent <br />.........__ . . _ <br />. ...... ... .......... ..............Cost........................... ........................ <br />No. Hcw�s I,abor........ .. � ........... S Ft. <br />........... q• <br />Cul in...__...__._...Pevemcnt_._..._......._X......._....._......_ . <br />...................X........................ ......._............... <br />....................X..................._... ........................ <br />�� <br />....................X.............. _........ <br />........................ �� <br />Total .......... .............59. Fl. <br />�—�___.._ <br />____. -- <br />. ......... _.. <br />R ema rks........ _..... <br />............................................................................... . <br />.__....... _ .... __ ................................................ <br />... <br />� . ._... <br />....... _......... _. . . _ .... .... .... .... . ... <br />Farem <br />. <br />Order Recciced_............_............ <br />lVork Con�pleted.._............_....... <br />