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,� � ,'�4' 2� �' <br />w. a. ror�r. � C <br />CITY OF EVERE 1T--Water Dept. <br />�,G�t r�:r,r i iscz <br />App}ieatifN� DIo...f:...'._:...._.��.._� Date ....................................._--.....19...... <br />I:istall_......_ .:.............._...inch watcr ser^ice pipe <br />_ , . - -- : , : <br />For 1 , � i _ , ................................ .... <br />.........._........ , <br />On........_......:..._ ...................'.<.L....................._..._.............................. Street <br />Lot........................................ ................... i;lock No.................................. <br />Adciition......................................................................................................... <br />r�R,aT�;s ........................................................................................................ <br />__........_......_ ..._ ........................................._....................................................... <br />___.........._ ................._.._.................................._............................... _....... <br />................................ .... ............................................ ...................................... <br />......................................_.. .._ ......__......._..............--- <br />Superinlendent <br />LABOR AND !1fATGRIAL USF,D <br />Siu <br />........................_�...........................I :..cad Connection ComplMe <br />..................................................._ Saddlc Complctc <br />......................ft........._........._..... ._ _..._...__.......... _......_...._.... _.......................Pipc <br />.................................................... Servicc Cock <br />...._ .................... Scr:ice Box <br />�.........�....._...._...I.._._.._... ..............� ..�.......�............�.........�. �..... �......_..._............._....._.._..................�............ <br />No. Hours Labor .............................................�os�.................................................... <br />Cutiu......_._.__....Pavemcnt _......_._......X ........................ ........................Sq. Ft. <br />. �� <br />.._.._............n ....................... _....._............... <br />....................k....................... ........................ <br />�� <br />..................X........................ ........................ �� <br />'i otal ........................Sq. Ft. <br />—�— ------- <br />Re m a r Ms. __ ... ....................................................................................... ....... <br />_....... _. _. _. _.......... _ ................... _..............._................................................... <br />....................................................................................................................... ! <br />Order??eceice�l ................._....................................................................... f <br />\Vn:k Complcicd...._. ._ ...................._..............................................._........1. <br />Foreman <br />