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i <br /> � <br /> , <br /> , <br /> �� �8 � o <br /> 5 1 Frie6e1M7.{6299 � O _ /^ �•� ' • <br /> W.U.Forai� . , <br /> CITY OF EVERE i T--Water Dept.; � <br /> � � <br /> _, ; <br /> . . � . <br /> , <br /> Application No.��..��._d........ Date_Y.�..:-�'-?':-'-��-=:.-...."'.:..........19_!..f <br /> (�, Inst�ll......���.._'�.,....._inchwaiersei'���cepipe <br /> �� / <br /> �� ;. - � � �o � �✓ <br /> For ...................r:.........:�.�....x::....:::..:.:..: � <br /> - ..... ....... <br /> ............................-_.. <br /> �...F��...� c�,`,� �"r :1;.::�.-..............-.. <br /> On ........ �� ...... ...................... Street <br /> ,/� � <br /> Lot...........�..1..........�":.....3..�.:....---..... liiock No.....7:..,i.-J............... <br /> Addition .................................................................................... ... <br /> Remar§s .................. . � - - - ... .. ...........---•-� <br /> � r, � ................... <br /> .................................................... <br /> � . - : <br /> �� �. <br /> I . ... .... . . . . . . . L.:..::.'..�..�.:c..:i...::..::._:.......�:. ..� <br /> , . . <br /> _r'''�.......................... . � ........_•-----.. <br /> / <br /> ......................... .......... .......A............................................................................ <br /> • � <br /> r..:c..r. - .rc1.!::�.::.r_c..:°.2. ................ �,,.. <br /> .� � , <br /> , � ......... ....................._--.....---............ � /�i � �.r-::.:::.v. <br /> f} / / / /�^�r`Qermtendent <br /> I .r' �. .`kJ ,/ 1 �^ � ( /��\ `r�.1 ."� � <br /> � ( <br /> II. . 1JU'� , —�BOR AND MATERIAL USED /� �-; <br /> _�_i'L}b •• - .. Size i--- <br /> .; . � ' _I <br /> ......._-... ' ...:.........................� Lcad Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................St............................ ........................................................................Pipe <br />, ..........................................._......... `_:rvice Cod: <br /> ..........................._......................... Scrvic� Box <br /> ...................................................... ............................................................................................................ <br /> i .. <br /> No. Hour. Labor........__........................_.._....Cost.................................................... <br /> Cut in....................Paver.unt....................X....................... <br /> ........................Sq.F!. <br /> ....................X....................... �, <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Total .................. Sq.Ft. <br /> _—l---- -_'- --� —— <br /> - --- --- — <br /> , � <br /> --- t.._�.......: Y� r--':�i....t <br /> Remarlts _.C�........,.<..�:..........��.-:............................. <br /> .................................................................................................................... <br /> . ................................................:•�--� <br /> \Pa•k Comnlcted..�......�:....'...,F...�,.:-._._....�..,.fr.::..... .......:'%r..... <br /> Order Receit ed ....... .. <br /> / , <br /> ' ...... � ��..... .:- '...:.._ ' <br /> ..... ........ <br /> ' Foreman <br />