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9. T. PRI[BC S� 2 9 9 2 - �//� J �� C� <br /> W. D, fORM ] r ^ /G� � <br /> 4 L <br /> CITY OF EVERE'rI'--Water Dept. <br /> Application No...�_��.�(.�..1� / <br /> , t . .�... .... ... . _19.�6 <br /> . <br /> Tnstall..........��........... inch water service pipe <br /> For � 6 ��.... ....... ��Z1 <br /> �....C�d....l..k:..::._...... . <br /> � .. .. <br /> .......... <br /> � i . <br /> ... .... ..................................... <br /> c ... <br /> On ....._....5.� . E......_�_ �;:_ ' ,�.4,�`��. . Street <br /> _.......... <br /> Lol............................................................. Slock No........................--�--........ <br /> Addition ... .1.,5.............................. <br /> .......................................................... <br /> .... .. <br /> Remarks ..._L�::{.. ........ . :✓x.L.�yLa...�L�.:t-4:.......................... <br /> .................................�....................................................................................... <br /> ............................................................. ................................. ................._... <br /> ..................................................................... <br /> .......................�......� <br /> .. . . � . <br /> ................._.._........................................_�. �....L.�.c..._..�n..7��-ti`�,..I <br /> S�uyp1��intendent <br /> -- — C "��-�.--�.� <br /> LA60R AND MATERIAL II ED <br /> No. Sizc <br /> .......................... ........................... Lead Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................f t,............................ ........................................................................Pipe <br /> ......................................._............. Sen�ice Cock <br /> ..................................................... Service Box <br /> ...................................................... ..........................................._.................................................................. <br /> ........................... ..........................� ....................................................................................... <br /> .......................... <br /> Nu. How�s Labor..............................................Cost..........................._. <br /> ........ ............ <br /> Cut in....................Pavement....................X........................ <br /> ........................Sq.Ft. <br /> ....................X........................ ,� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Total ......._...............:q.Ft <br /> -__�_ ----- <br /> _-- <br /> Remarks..._..,:.. _.......................... <br /> ............................................. <br /> ..- ._.......... <br /> ,: 1�� <br /> , <br /> , __ c <br /> ............ " - <br /> _.............. ............................................._........ <br /> � ...... ....... <br /> -� � ., � <br /> ........�'.:........r......L...:`......^......�..................................................................... <br /> OrderReceived............_.... ....._....................................... . <br /> .......................... � <br /> \Vork. Completed..............._.........._.._.._......__._. <br /> _ _..... ............. .............. <br /> Foreman <br />