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CITY OF EVERE'IT... Water. <br />D`eRt. ; <br />Application NO. .-. t.15.-- Date <br />Insstt 11 i. inch water service pipe <br />1 _.....___..........__............. <br />ForUj. <br />...... _........ <br />I .......... ... Street <br />Lot ...._.... .__..... _ __ Block No_.. - - - . ...... ........ <br />........ * . .. ..... 1 <br />Addition............. ..._............................ <br />................. <br />...... ...... ._. _.....___............ <br />.._ -... _ <br />LABOR AND MATERIAL USED <br />- No. <br />Size <br />--------� <br />Lead Connection Complete <br />................................................. <br />.._ <br />Saddle Completa <br />. <br />i..................ft...._........._-..... <br />......................................................Pipe <br />'.., <br />...-........ <br />Service Cock <br />v� <br />F_�acun............ <br />�^ <br />_....yY............ <br />Box <br />-•.... ... <br />�2n1� .......... <br />.... ........ <br />......................................_............... <br />............................ <br />...............................................................................-.........-_ <br />>4.,✓- <br />........................ <br />....... ...................... <br />....................... _... <br />_......................................_....__.........: <br />_/..... _ ..................... <br />a .Coat .... ......................... <br />� No. Hours Lebor.........�.7.:::_�_....._._:...,. <br />X <br />................ .... ....... .. is <br />.: <br />Ft.�. <br />Cutin .......................... Pnvemertt.................... ............ .......... ....................Sq, <br />................... X_...................... .................... <br />_... ............ x ....................... ................. <br />_ <br />Total ....................Sq. <br />Ft. <br />-- <br />— Material SUDNo. ....�a. nnaww. <br />Rentarks................................... <br />........ ...... ._....... <br />Order Received - - - --- -"' <br />- V <br />_ ............... <br />Work Comi,leted /� c....... _.. <br />Poamm <br />