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MR. <br />W. D. MR. } <br />CITY OF EVEREI`I--Water Dept. <br />Application <br />For ..... Il.!.`'aF-�ppv`.:......:-.:a. <br />On........................4—._a'..... <br />................... �?'/!. ......... ls:.> 3 <br />.inch water se;vice tripe <br />Lot....................................... _.... ....... ........ Block No ............ _.._----.._...---..._ <br />Addition..................................................... <br />Remarks f (�� <br />.........._........_........./.............._ ,Z ....._..._........ <br />LABOR AND MATERIAL UOD" <br />No. �n:e <br />_ <br />. ..... <br />Lead Connection Complete <br />Saddle Complete <br />...__...._-._.._ ...... <br />.._...........__..tt. ....1.(�1.........._..... <br />...�...f::. ''•�:.i: ........_.........._. <br />....Pipe <br />!,t......__..... <br />ServicenCock <br />.._.._......_.._L......... <br />................ _1... _r .,L.44 :........... <br />Service IIox <br />.... _.......... <br />No. Hours Labor <br />........................... _........... ...... Cost .......... ... <br />...... _.._.._.......5....Ft. <br />q. <br />Cut in .. .......... ....... <br />.Pavement ........... ... _.. ........ ....... ....... <br />..................... <br />u <br />'Total <br />.1......................Sq. Ft. <br />OrderReceived............... ....... ............... ........... ....... ..... ..... ....... ........... <br />... _....... <br />Work Completed._,[:: _f. `r!... .......................... <br />Foreman <br />