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� <br /> <: <br /> f. <br /> L � Y � Y <br /> iD.Form J IOtM 5-1.111 � � � <br /> CITY QF EVERETT...Warer Dept. <br /> Application No.__..J0.9 $..... Date... ...y_-^z 3 193 � <br /> . _ __ <br /> Install .. _!t inch w�tu service pipc <br /> For,—, �.�hh._ . : <br /> .. � <br /> _ .,e _._. _.... <br /> ._....._ <br /> On......_.�--/.r_F_�....o....._...._.... Street <br /> .. . --..._ . _. ..._ ... <br /> __.—. <br /> Lot..._....._._..... ._. __...._..Block No. <br /> _....-- <br /> _........_ _._... <br /> __....._.._.....__..._. <br /> Additior. <br /> _ . <br /> _ _....._ _._.. <br /> __..__................._......_�. <br /> Remarks <br /> _.__._.._ ....._.__._._.__.. ....__ _ ._. <br /> _..._............_. _............_ ___......_... <br /> _ ___....._... _ _ ..__................ .. ..._ _._........ __ ._.._................ <br /> __ _ <br /> _ ___....___ _ . ._. ..._........... .__....._......... <br /> _ ......... __._.._.. <br /> _._.__ _. <br /> ___.._.._ .......__.... ..._ _ ._............---..__.._..._.. <br /> ................ <br /> �_.�-...�.�-� .; �a��r:i zi./3�-- <br /> !/ — <br /> - -- — - <br /> _ --_-- ---- <br /> --_ _=_--__ ` '__— <br /> LABOR AND MATERIAL USED <br /> �No. ---- -- -_I_. . _ -- - - ----�-- <br /> .__ _ Sim - — _ <br /> _.. , .. . .___ ___ .__.-___- . <br /> .� j� -„ , . . . . . <br /> . -.-........ __..._ S/- _.. .. Lead ConnecNyn Complete <br /> ..._�._.. _ _ ..�" � Saddle Com��.ctc <br /> 3.9 _') I <br /> .. <<I 3 �}� .. I __ �-��-- Pipc <br /> � ........_.. <br /> --. p..�y� � � Senice Cock ,J ^ <br /> �� � �� `'^..!t+«- Scrvice 6ax ��-f�'�-� �� <br /> .._.._. . ... _ ..... . � <br /> / O <br /> . ..._... ............. <br /> -I �---_._... ......_ . . . . . ... <br /> i ... ..._. . . _ .. <br /> . . _.. . . ... ... � •-- <br /> . _ _ . ..... ._.... <br /> _... <br /> .., ..... ,... <br /> _. .. <br /> . . .. . .. ..._ I . . .... ...... ... .. .. ... . .. _... <br /> _ .._ . ..... _ . ......... <br /> No. Hours Labor - -pl� <br /> _ . Cust. _�7 \,`.. . . _ <br /> ._... ... .__._.... <br /> Cu: in. . .. ...pavimen[ X - <br /> .._. ._._.Sq. Fc. <br /> .. ...._ . ..... <br /> ... <br /> . ......X..._..... �� <br /> .. ... _..........__....... <br /> _ ._._.........._...__X..................._..... ,. <br /> __........_....._.. <br /> .__ . X .... �� <br /> Total ..._......_..._Sq. Fc. � <br /> - -_- __.--:- _-_—.-. <br /> R•:rmrks ��ZL�. 8.2..y..3 - <br /> .._.._ . . <br /> _ ......___ _---...... .................... .... <br /> ....._.._.. � <br /> ._: ....__.. _...._................. <br /> _ _ __._ <br /> prdcr Rcceivcd <br /> .._.. . ._ <br /> Work Complcred <br /> _ __ .. . .__. <br /> ........_. <br /> e,.,� <br /> —�c�:L, <br />