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„- <br />w. o. ronw��� � ��/� � <br />_ - CITY OF EVERE�i'--Water Dept. <br />_ _ <br />Application No...._'1..�1.�!�%. Date ......................�:..:.:../...............19...�-.� <br />Install ...............................inch water service pipe <br />For ...... ............ ............................ ......................� ............................ .. .. . ... <br />. . . .. <br />_ � <br />On ..........._�_�.../..:.a...._,.�<L.n..::....`.C.�.�yL� .:................. Street <br />f <br />Lot............................................................ Block No�.................................. <br />Addition .................................. . . . . . .. . . . . . . <br />.. .. .. .... ..... ..... <br />.. ........... .... .. .... ...... <br />Pemarks............................. ....�.t.c.a �.:....t...: «z�........................._...... <br />............................................................................................... ...............�--....... <br />......................._ _.._......_................................................................................ <br />Superinten¢rnt <br />LABOR AND MATERIAL C'SED <br />....................._.._I...........................I Lcad Connection Complete <br />........................_............................i Saddlc Complele <br />.......................ft...._......................� ............................._.................... _..................Pipc <br />.....................................................I Scrvicc Cock <br />__ ....................... .......................... Ser;icc Box <br />� <br />No. Hours L�bor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ......... ..............Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />......._.._.......X ........................ �� <br />................... ..... <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Fl. <br />---- -- � --- <br />Rcroa rks ............................................................................................................. <br />................................ ................... .................................. <br />OrderReceiced._ ......................................._................................................... / <br />\Vork Cnmpleted ....................__......__..__..._........ ................._............ <br />Foreman <br />� <br />