Laserfiche WebLink
J y/ <br />_��38 9 . ,�i.-,a�r <br />w.•0. /OP�.( l <br />CITY OF EVERETT--Water Dept. <br />C(�c-c t, , : . ,/ . �3c2 <br />�p}icatirn� No.L.l...t.:?.:..:... Date ...............................................19...... <br />; ��_ .� s 11 ............................. .inch water service pipe <br />: . . .� ., / <br />For _//.._:.......�.-:..�.� ......:.:::...�.:1..:...:'.t.,...�5..:................................. <br />On ..�'. �%!..5.......G..i.;.:.:._::�....:_.C..:.�._��:�....:. :..r.� .:........... Street <br />L,ot ........................................................... Block No...............---.................. <br />A�idition ....................................................................................................... <br />Remarks.......................................................................................................... <br />_.. .... _ _. _. _... _ ................................. _......................... <br />.. ........................................ ....................................... <br />.................. ............. _..... ... .................. ............... <br />No. � <br />................. ..................... <br />Superintendent <br />LABOR AND MATEAIAL USED <br />Lcad Cnnnection Complete <br />SaJdle Comp!ele <br />........... _ ............................ _.............................P i Pc <br />Scrvicc Cock <br />Scrvice Box <br />____ .................................. ...................................... <br />.............. _. _............ .. .............................................. .. <br />. ..................... .................................................. .............. ......... ............ <br />No. Hours L�bar .............................................Cost............................__........._ _...... <br />Cutin....._.._.........Pavemcnt.._ ...............X....................... .......................S�;.Ft. <br />....................X....................... _....._.............. . <br />....................X....................... �� <br />.......... ..... ..._ .. <br />............_.....X ...................... ,� <br />.. ..................... <br />Total ........................Sq. "t. <br />-- �--�-- -----'---- <br />Re tn a: : cs .. .. ..................... ......................................................................... .... <br />__ . ._ ... ..........................................................__.......................... <br />.. .................... .................................................................................................. <br />OrderRecceced .. ......................_.............. .................................................._ � <br />1VorkCompletcd .................._...____.. _........__............ __...._.._... <br />Foreman <br />