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S J. Mrb.1M 7.4619/5 / O�� ^• "` <br />W. D. Form 5 <br />CITY OF EVERETT--Water. Dept. <br />Application No✓ 11......`-3- Date ....6..............`•.__�_`..... <br />i <br />I/n/stall✓//�1-•- r-- __inch water s rvice pipe <br />C%f/o.1 .......j...... :. i. AIL! ............. <br />For ....� .. �.....----.'..I:�_........•............ <br />On.................._✓�_l�_ 1? .^........ .�4.................................. Street <br />r, +---------- ----- Block No ..................................... <br />Addition <br />Remarks <br />LABOR AND MATERIAL <br />Superintondent <br />No. Hours Labor .............................................. t:ost............. <br />.... <br />........ <br />.._............ <br />....... <br />.... <br />Cutill....................Pavement.................... X ....................... ........................Sq. Ft. <br />....................X....... ............... ........................ <br />4'.-tal ........................Sq. Ft. <br />_....................................... ........ - t ,ty. f .I <br />OrderReceived ... .... ........... .....q................._. _............._.......... t---------. s. <br />........_ -- <br />- <br />Work Work Completed..........i............--.............Foeman <br />