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,�' ��'� � <br />w. o. roa <br />p CITY OF EVERE �'T--Water <br />Dept. <br />, � -, <br />; :, � , <br />Application No..% .:..:..:..:..../.L- Date..............��.......�.....................19..�-.-: <br />, I�stall ........................... ._ .inch water service ni*�e <br />7 „ �/�i <br />, : '. <br />For _�;.-:.._....:_..i :.........:.........�..;..:.....:t......i!..:.................., ............ <br />- _ , : �,-..-.....,.. <br />O:t .........c�.._�1.�...:L .............:.:�.:%i_.......:.1.::.'r::...-.......:_'--'..i.�....... Street <br />Lot.............................................................. Block I�'o..................................... <br />Ar�[�lilOR ......................................:................................................................. <br />, j `�' <br />� , <br />Remarks ...._C...i.......�....:.t.:r.r.z._�.:..�_� .:::...................... <br />- ................................................................ <br />_ .......................... _ ............... <br />No. <br />LABOR AI`U DiATERIAL USED <br />Lcad Connection Complete <br />S�ddlc Conr,.'ate <br />..._.__....._---- <br />Se•.vice Cock <br />S�arvice Box <br />................................................ <br />................................................ <br />Nn. Hours L�hor_.....__ ................ <br />Cut in.....__..........Faven�ent._..... <br />Superintendent <br />PiPc <br />........................Sq. Ft. <br />........................ .� <br />....................X........................ ........................ �. <br />....................h........................ <br />........................ „ <br />Total .......... .............Sq. Ft. <br />--=_ --- -- _. <br />Pemarks . ................................ .......................................................................... <br />- --........... <br />....... ... . _ ................................. ............-..... <br />.. . .. <br />..............................................._ _..._................. ........ <br />. �;... ....._.. <br />OrderAeceived ......................................................................... . <br />\Vor}: ('nm[�1rtPd ._ .._........_ __..__...__...........__ ..................P'oren:an .. <br />