Laserfiche WebLink
� 1 � 1z2 � � - �' �-'` �� <br /> w. o. ronr a <br /> � �,r- a <br /> CI�Y OF EVERETl'--Water Dept. <br /> _- '/ <br /> Application No.J�:�...�..�' Date...........�.:.�........a.�.-..----.19_FI <br /> ii . . . <br /> lnstall...... .................._.._mch water serv�ce pipe <br /> ` — <br /> For ...r�i�.._....�...... �?�............................... ................................ <br /> ,, � /,�. , � /7 <br /> On .....................��----..�...�......_6�-�`=.::"�-�1......-------....... Street <br /> Lol.............................................................. Block No.................---................. <br /> Addition .......................................................................................................... <br /> Remarks ..}.�.:..:s..�.c��'.".�-................................................................... <br /> ................._..............................................................� ....................-�-------........ <br /> . . r l <br /> ......................._.......:..............�,�.l........�....�.9'.............................._..._........... <br /> ^, ,:� )t <br /> ..................:.................................. .'�.............,......---�............. <br /> _:�u�'......................._... <br /> / . <br /> ....................:....:._:..5�.........._.................................. ..l.4:�.�...=.{'...1..��y 5.-.`.`� <br /> . .. " � /',' Supefinlen�� e�t <br /> _ _ c4.��j�,'//]�co�-' <br />�I — LABOR AND MATERIAL L'SED <br /> ......... No• � Sizc <br /> ........I....... ........_ Lcad Connection Complete <br /> .................................................... Saddlc Compl,_te <br /> � ..............._�.....ft....�.................... ........................................................................?iPe <br /> , , <br /> ............................L.......:.:........._.. Servicc�Cock <br /> ....................::�.........:.............._..... Service Rox <br /> �" ..�`:� No. How•s Labor..............................................Cost.................................................... <br /> ... :,:. Cut in....................Pavemcnt....................X........................ ........................Sq.Ft. <br />" . ....................X........................ ........................ �� <br />� .. . . . . . ......._...........X........................ ......................_ �� <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ---- --- <br /> Remarks.....C_:..,:.':..:..............:........................................................................... <br /> ........................................................................................................................ <br /> ....................:..........�.:.....:.....:............................................................................ <br />�. Order Received.. ............... ............. ..,,..... _ .................... I <br /> . <br /> ;.,' \Vork Complctec' _ ........... ....................... ................... .. <br /> Foreman <br />