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20 ,, �,_ <br />w. o. ro��� , <br />- -CITY OF EVERE�i'--Water Dept. <br />Applicalion No.�....-'...i..:: (:�:. Date.........��: �.:.:..� .........................19._<:r --� <br />Install....._........ . . inch water service pipe <br />�� .-� ' ..T'......., . <br />.� ., , , i . � / <br />For {,. :....._^..:.,......_...._.4.c.........._�.�:..�....�,.1.C.� ..................................... <br />� � , <br />� j , <br />� . <br />On ..........._�Y.�,.._...:y....._j....'..�_.:-..R...._�,.c.�:,.r.:r .............._..... Street <br />Lol.............................................................. Blnrk ld�..................................... <br />:1�1�lition .......................................................................................................... <br />Rcinacks ..............:................:] ........... . . . .. <br />........................... ... ... . .... <br />............................................!....1�--'1.:.:t.�w..i....:L.. !.:'.t.::....................................... <br />.......�� ................................................................. ................................................." <br />� t� <br />%,i�.. ...... �:: �'! �. <br />..... ..... ............. ................................................................................ <br />' Superintendent <br />-�-= `' �'� - -�_- - <br />LAflOR AND MATERIAL Y7SED <br />.._ � �:__ i '— <br />_..I Le�d Connection Complete <br />I <br />5aadic Completc <br />...................................... ...... ..........................Pi�e <br />.....:.I Service Cock <br />Ser:ice Box <br />No. Hours Labor .............................................Cost..................................._..........._.. <br />Cutin.......__._.._..Pavemenl_ ..................X.............._........ ..................._._Sq.Ft. <br />....................'. ........................ ........................ <br />�� <br />....................X........................ �� <br />........................ <br />.............._....X._..................... �� <br />........................ <br />Total ........................Sq. Ft. <br />----- � �---------'---- <br />Reinarks_.... _ ................... ............ .................... ......................................_....... <br />.. ......................................................................... ..................................... <br />OrderReceiced.._ ..............__..........._....................... ._...................... ....... <br />\Vork Completed .............._............................................................._........ . � <br />Foreman <br />