Laserfiche WebLink
L <br />W. 0. fOPw��, I � � <br />� CIT Y OF EVERE'TT--Water Dept. <br />�`PPlication No.�....:...._�..:..":.I Date .............�.......�' _..................19_�: ' <br />Tnstell ......................... ....inch wa+rr service pipe <br />. i �i . <br />For...�......�1.,..........:_...;:...:.C..:.._ J............ _ _ ......................................... <br />Un ..... �.. �,'..�'...........�,':...:_: r...i��.......�....._� ........................... Street <br />Lot............................................._`.�......... Blu:k N�..................................... <br />Additioo..._........_ ......................:.:................. _..............._................. <br />� <br />Remarks �..{ ...:..........::...[...l..�r.:.................................. <br />.............................. . <br />_ ..............._..._............................................. -- - -- - _ <br />.................. .......................................................................................... ........... <br />..................... ............... ................................................... ...... ................ <br />�upc.mlendent <br />LABOR AND MATERIAL USED <br />--�---�. ..Si e <br />No. _ <br />— r <br />--- <br />........ ......... . �....... ................I =.cad Cnnneclion Complete <br />.._ ..................................................' Saddle i'ompletc <br />.......................ft............................ _._......_..... _..._......_.............._...................._..Pipe <br />......._ _ ........................_............... Scrvicc C uck <br />.... .................... .._...................... Scrvicc Jlox <br />. _ _. _ ................_............._...... ..... ...... ........._....................... ...... <br />I...__.._ . ........... .............._.........................................__................_...........................__.. <br />No. Haw�s Lsbor_......_....._....._ ......................Cost............__.............................._.... <br />C�ri in..._..._._.._PavemcnL............_.....X ....................... ............._.... q.Ft. <br />....................X........................ ,� <br />........................ <br />_ ._ .............X........................ ,� <br />. ........................ <br />...___.... .....X...__ ............._. .� <br />........................ <br />Total .._ ....................Sq. Fl. <br />-___— -------- -- <br />P.emarks._.... ..__ ... ..............._ ..._.... _.._............_..................................... . . <br />_ . _ ...................................................... _ ............... <br />OrdcrHecci��ed ........................................_.................._............................_ � <br />�Vork Complcted...._.....__...._. __..._.._ _......__......._ ........ ......._. .. <br />Fureman <br />