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7 r.!r <br />-CITY OF EVERE'IT--Water Dept. <br />Application No.../..:1!....='.... Date..........................19...... <br />Install ...............................inch water service pipe <br />For........... _...... ».............................. _............................................................... <br />On .....................................%.5to <br />.....--.............................._....... Street <br />Lot................... ......................... _.......... .... Block No ........ .... .............. ........ <br />Addition....................................................................................._................... <br />Remarks........_..................._ ...................... ............... _.................... ......... _....... <br />1 aN..................._.__...._............._....................__.._......_......_... <br />LABOR AND MATERIAL USED <br />Size <br />_No. <br />............ ... ........ <br />........................... <br />Lead Connection Complete <br />............ ......... . <br />_...................... . <br />Saddle Complete <br />................... St. <br />... ...................... <br />................................ __....... ........................... Pipe <br />.............. _........... <br />_........................ <br />Service Cock <br />.................. _...... <br />.................... ... _ <br />Service Box <br />No. Hcurr Labor............... .......... .................. COOL ... ...................... ........................ <br />Cutit............ ......... Pavement ................ ... X....... _........ ....... ............... _....... Sq. Ft. <br />.................... X.......... ........... <br />.................... X....... _...... ........ .. <br />v u <br />Total .......................Sq. Ft. <br />Remarks............. ... ..................................... ........ .......................... ........ - <br />OrderReceived ...... ................ .... ..... .......... _-... ......... ......_........................ <br />Work Completed.... .... ........... ......... <br />Foreman <br />