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/-g�2co <br />CITY OF EVERET'r--Water Dept. <br />NJ,R 1 -52 <br />Applicatioh-No..l-/�_:3.:3.7... Date................................................19...... <br />Instal ......................... inch water service pipe <br />For.....6 � . ...................... _..... <br />On ........... %..a.` :..........+ .-.ti�......:77 .!/G�r........ Street <br />Lot............................................. _...... ........ Block No ...... ........................... <br />Addition..........................................................................._............................. <br />Remarks................... ........ .............. _... ..................... ........... ... ........ ......... <br />......................................................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. —Size <br />Lend Connection Complete <br />Saddle Complete <br />........................ ........... ....... ................... ....... Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor................... ......... ...... .... _..... Cost ....... ... ................ ... ... ... .... ....... <br />Cutin .................... Pavement .................... ... ... .............. ................ ....... Sq. Ft. <br />...I ............... X... I ..... I.........._.. <br />.......... .......... ............ ........... <br />Total .....................—Sq. Ft. <br />Remarks............................................................................................................. <br />......................._...........-..................................................._........I..........I._....._.... <br />.............................. .............. .............. ...... .................. .... ............ ...........\... <br />OrderReceived.......................................................................................... . <br />WorkCompleted ............ ......... ............................................. ....................\ <br />Foreman <br />