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W. n. Form J 1500 3-1-17 C. P. <br />CITY Of EVERE1 T==Water Dept. <br />Application No.__%_-7UD-_ Date___ o------191`� _. <br />i <br />install___/.d+. ------- inch water servit-e pipe <br />On----------- �q � 1 Street <br />--- <br />Bloc�k No •/-/-----''�--- -------------- <br />Addition--- 1y� LSda------------------------ <br />p <br />Remarks�G.O-�'--- Va-r--------------------------------------- <br />-------------------------------------------------------------- <br />- --- <br />--------------- ----- <br />---------------- <br />C-�_.%Pcnl� <br />Superintendent <br />LABOR AND MATERIAL USED <br />HO. <br />SIZE <br />ft. <br />----- <br />Lead Connection Complete <br />Sadd" om ete <br />_ -------------- Pipe <br />Service Cock <br />Service Box <br />------------------------------- <br />------------ <br />------ <br />t0sJ. � 4-_ <br />No. Hours Labor ____—_._Q_-__... __—..Cost.__. - -------------- <br />.--.Pavement____.-.._X._--_.-_.__- -__ ___._._Sq•Ft. <br />Cuts in ---------------- .. <br />.-_ ____--__-_._ •• <br />Total, ------------Sq. Ft. <br />Remarks -------------------- <br />------ - ---------- ------------- ---------------------- <br />---------------- --------- ------------------------------- <br />Received ------- ---------Foreman <br />