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98 0 ,.. <br />W�0 Fab�411].�c.9:� � � .• ' <br />� CITY OF_ EVER�I�T'--Water Dept. , . , <br />, j`�, � ;�- �y <br />Aphlication No.._�..,�.!�.../. � Date ........:......::. :'-.............`...: �.._1P.:.... ' <br />Install...._.�� .................inch water se�vice pipe <br />. . <br />For : , , . . , , � � '...... -__......... <br />......:.:........ .......:... : !......:.,.. ._:........_.... ;_.............:......... <br />on ............... ..C�..�/._�....-.._�_(- � <br />,/ / �..� ................. ................. �treet <br />� r ._ <br />Lot ..................1.. ................................. Blork No....=--(,..�................ <br />�, . <br />Actdition........................._................._......._.........................----...................... <br />Rem�rlcs ............ .....:I.....--�- ........................................................................... <br />i. . . . .__ <br />............. -- -a•',�--.....:........:.. ----....................................................._ <br />� ......._..�.._ .. ................................................................._._............._................... <br />, /� .,' .. .. <br />i ............ ... ........................ �. ......"".:.::........... <br />................ . ... . <br />_ Ii 7 � '� i�i,- . . , . <br />....i.."'....: !......... <br />, <br />...........�1 ............................................. ..5:'....--..1.....: ..... � .....::...."""""""""" <br />' �'�, Superintendent _ <br />----- � �\ ' � ` - t <br />No. <br />LAQOR AND MAT6RIAL USED <br />L.e2d Connection Completc <br />Saddlc Cnmpletc <br />.................. P i p c <br />Service Coc4 <br />Servicc T3n� <br />"io. ITours Labor .................._........................Cost.-----.... <br />Cut in ..............._...Pavement.._..._..........X........................ <br />....................X........................ <br />.................... X. _..................... <br />Total <br />........................Sq. Ft. <br />........................ �� <br />........................ �� <br />........................ .� <br />Fl. <br />, . , <br />Rem2rks..........C..�.....�.�,�_._.....'..: ;.:..:.:.� ..::............._.............._.................... <br />_. _ ................ _................. .................................................. _....: ........ . <br />.............................. .................................. ................................. .. . . <br />�l'f�Cl' riiCelVC'(� ....................................::........._.........................'j'.:..:_.._w••,--.-. <br />'�\'or?: Completed.:......._._....:. ; -` �` <br />....................................._.............. .., .,, <br />Foreman <br />