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��,,.��3 � � , ,; .� , <br /> w. o. ron <br /> - CITY OF EVERE�T--Water Dept. <br /> � .; , . ; _, ( � , <br /> Application Na::..:,:...'7........, Date..........�]..`.::..1.......................19...� �' <br /> , f• Install...............................inch water service pipe <br /> For / ,, _ ,�.�� ..x s......:�.�.�.: ..._..................... <br /> ............. <br /> .:..c�..........:......... ....... .,... <br /> �_ � � �� <br /> � . -, .. ,.i , .. <br /> t '..:::::..:.f..._4:........t_.: :.:::..�...�;..,........1.::,.:'.�:...... Street <br /> , <br /> 11 .............L..._.. . <br /> Lot.............................................................. Block N�..........:......................... <br /> A�IQition ..........._. ....................................._..--.............................................. <br /> Remarks .__...._................__......�,-..................._� <br /> . �.................................... <br /> ' 1...:.;.1.,:.:;:...^.:..(..,�..!::.............................. <br /> ...................................................�... <br /> ........................................... ............_......................................................... <br /> ................. ...................................................................................................... <br /> ........................................................................ <br /> .................................................... Superintendent <br /> LAtSOR nND MATERIAL USED <br /> _ No.---�--Size !---- —_ <br /> I � Lcad Conneclion ComP�ete <br /> ...........................I....................._.... <br /> � ._...................I Saddlc "omplete <br /> ._........................ .. <br /> 'i _....................._..Pipc <br /> .....................ft........_. ........._... ...._........._ ........_......._...... <br /> _....................... . . ................... Scrvicc Cod: <br /> � ... ......__......... Scrvice Box <br /> .�.....�.�....�_.'.._.....I�........�.�.��.�_......... ...........�........_....._......_.........._....................�.�..._..._............_�.........._... <br /> .. ....................... ............ <br /> ...... ............................................................................................ <br /> ......................�_ ' <br /> No. Ho�;s LaUor. . Cost........................ ..................... <br /> ............................................ <br /> Cutin.....__.___....Pavemcnt_...._............X..._.........._._.... ...... ............Sq.Ft. <br /> ........... ........X........................ ........................ <br /> �� <br /> ........_.........X........................ ........................ <br /> �� <br /> .............X......_............._. ................._..... �� <br /> ...... Total ........................Sq.Ft. <br /> ______—_ _____ <br /> Remarks._............................._......................_................................................... <br /> .. ........................................_.........................__............... ................................... <br /> .............................................................................................................................. <br /> Order2ieceiecd..._....................__....._................................._........................ <br /> \Vork Complcled........_. _.__.. . _...... .. ............ . _ ..._._... .._ ..._.._..... .. <br /> Foreman <br />