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W. D. Porm 3 - '!/ 0 <br />S. �. Prebe <br />CITY OF E-VERE'TT--Water Dept. <br />614 <br />Application No. S! Dat/q.-.__------ 19___. <br />Install. —)I- _ inch wa'er service pipe <br />For -----------•- LI % ..=" - =f------------ ` --•--- <br />On ---------- ", --------- ------------ e... � _ .Street <br />/ ; <br />Lot.------- <br />YAyv- <br />� _ lockNo.. ` <br />.Addition ------ --------._----- � <br />._ _ .. ..Remarks .................. <br />. ------ <br />------------------ <br />r) <br />(( %tn'7frJ iLJ �i! <br />Cf <br />LABOR AND MATBR•fAL-CS•c`D <br />No. Size <br />Lend Connection Complet: <br />1..__ Saddle Complete <br />3 a _ram -----Pipe <br />/x <br />--•----_-_-_- Set cc cc <br />_ Servim Box Y <br />1 <br />1------- --- 3izf....... (��( � =r' 1 is <br />........... ---------------I %- --------- <br />z <br />No. Hours Labor ------------------ ��: Cost_-'8'A'-'-- ------------------------- <br />Cut in ---------- ._Pavement._.___. ----- X------- _------ ---------------Sq. Ft. <br />1 ✓` --- - _X-------------- - ---- - ,. <br />Total _______________ Sq. Ft. <br />u------------- <br />r 6 �oX _/S s =.. °s f <br />Remarks----...----•-• •---- -----�-- <br />----- <br />Order Received- ---------------------- — ...-------------- <br />Work Completed --- <br />an <br />