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Inr�' . _. . i � �d: <br /> t <br /> ,• � � � � • / - I✓. <br /> w. o. rr�M a <br /> CITY OF EVERE"iT--Water Dept. <br /> � , <br /> , / � <br /> Application No..- -�I--�..�7:... D�•'te.........�r........1..1......_�:.._�....12..... <br /> 7nsta1l...._......'.f..u.�.........inch water service pipe <br /> For .......... ..............2.......... � <br /> .-f- <br /> �-�_, �........................................................ <br /> On ........�:��/..�..�/./. .J..._..!.........._.�'...................... . ...................Street <br /> Lot..........1'I..[�!.l..e.�...._.....---� -..... Block No............_-........ ........... <br /> Addition d --..�.7...._........................................._---........ <br /> 11..--.=� ....... <br /> � ' CLC � l ��.R�.-�q <--" <br /> Remarks .........f.: f�I:[_i...a:L.:............:._�.:......_�.....----........._r.::................ <br /> - � <br /> _......_��t:::�:�:r:�.:....��.......�-..J�./.��...� .................................................. <br /> - .............................................................._............................._............._....------ <br /> � _....:,.......o.................................._... <br /> .................................. ._.............................. . <br /> � ............._�/ � <br /> , �....:.................. .................... ..��C.:�...i.t....................-----' <br /> � ��"� ��' ,�C A �fiperintendr_nt <br /> �/�� t`<�l—z� -� - <br /> LABOR AND MATERIAL,bSED <br /> No. ' Size � <br /> --- <br /> ..___,_...........................�Lead Connection Complete <br /> ._......_.................................._....... Saddlc Complete <br /> .__............ <br /> ......ft........................... ........................................................................Pipe <br /> ._................................................... Scrvice Cock <br /> .............................. ._.................... Service Box <br /> No. Ftours L�bor..............................................Cost.................................................... <br /> Cutin........__........Pavemcnt....................X.................._.... ......................_Sq.Ft. <br /> .. ,r , i �:,-. �i--� ..............._...X........................ ........................ <br /> �� <br /> . :�i•1, � /_ 'YY"'� • ..............._...X........................ ......................_ �� <br /> l � <br /> / /' ......._...........X........................ �� <br /> ............'_'........ <br /> `/' � f 0 � ca �... Total ........................54.Fl. <br /> ---------- <br /> Remarks.................................... ...._........................._........ ........_--............... <br /> ........... .................................................................................... ............... <br /> ..................................................�-............::........._.. ........................ --......... <br /> • � , v . <br /> O_ 'er Receiccd.. --....._l.'._.:.::........ .................................._ ................ <br /> \Vork Completed.............................................__..__...... ..._....................... <br /> Foreman <br />