Laserfiche WebLink
5M Ic?m 14 . N; <br />CITY OF EVERETt--Wat ept. <br />COPPEn <br />Application No. ------ ---- Date :............. . <br />Install.. _ . _. _ ...inch water service pipe <br />For... .... ...... . . ... <br />On --- ---------------- --......Street <br />Lot----- ----- - -- — — -- — -- Block No ....................... <br />Addition — — ............ ...... <br />Remarks ...... . ...... ........ <br />- LABOR AND MATERIAL USED—y-- y <br />No. Size <br />.............................. Lead Connection Complete <br />.............................. Saddle Complete <br />...._2 ....it..... . � ^ ..tom 1?_!h;�....................Pipe <br />.................... ........ Service Cock <br />........... Service Box p r <br />----- -------- <br />---.- -- ............. ........ <br />No. Hours Labor .................... Co.F.0.. D .......................... <br />Cut In ...... ......Pavement ............ X........ •..... ............... Sq. Ft. <br />............X.............. .. <br />............X ............. ............... .. <br />i <br />Total ...............Sq. Ft. <br />Remarks ............... f ---------*----------- <br />rG•".:_l!/��—..'.�o-v�/,��-=•'_•-•---•-•-•--•----•---_' <br />-•--•-------•-----...-- <br />Order Received --------------- <br />Work Completed ............. .............•--• ------......•.. <br />Fo..... <br />