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9�,„- , J rT.,W atez Dept. <br />• 1. For , 3 CITY OF EV ERE ,// <br />Date......f-`-'...r ..... ..........10 <br />Application N <br />o.S.---f.-`.... ! inch water service pipe <br />Install.......... y......-... ................. <br />...L......................... Street <br />For.................................................. ti.i.- <br />d /1....-............ . <br />............. <br />On ..................... ....... Block No........................ <br />... ....... .................... <br />Lot— ........... �- ............................................................. <br />Addition .................... ........JJ _e... ............... <br />Remarks ............... . <br />=� TERIAL USED <br />LABOR AND D <br />Complete <br />head Connection <br />Saddle Complete <br />Service Cock <br />'Eervice BOY <br />................... <br />..........._. ....._. <br />. Sc1• <br />No. Ho11 <br />urs Labor .......................................... ... o ......_... <br />Pavement .:................ _.i!........................ <br />. _......... <br />Cut in .................... .. <br />........................................... <br />X.Ft <br />Total _� <br />