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CITY OF EVERE 7--Water Dept. <br />Application No../..,.. Date............... r]........ /.................... 19-f—, , <br />.....................inch water service pipe <br />For ...... fc�C.:_-_.....�`z. ,.0.................... .............. <br />On...... > a. ... z.... .....L.................................. .._... Street <br />Lot................................ ..................... ....... Block No ............ ...... ............... <br />Aduon ................................/.............................. ....................................... <br />Remarks ....................... _..... C%..2�z�.ra[��+/.... ....... .............. <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />............................................ ................. .... ... Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor................ .............. ................ cost ............... ..................... <br />_.._... <br />Cutin....................Pavement.................... X....... ....... _....... ... ................. Sq. Ft. <br />....................Xy................0_.. _... ......._........... <br />... ............ .... .A ........................ <br />1. <br />................... X........ ...... ...... <br />" <br />Total ...... ... ............Sq. Ft. <br />Remarks......... _.................................................................. <br />................................................................................................... <br />Order Received . ....... ... ........ ............_......_................. ......... ...................... <br />, <br />WorkCompleted ......................._............................................. ............... <br />Foreman <br />