Laserfiche WebLink
-� �63 . , �� <br /> s J:r.��6�r..7-�bxva s <br /> W.J.Form] <br /> C1TY OF EVERETT--Water Dept. <br /> Application No..�.-�._��.�._;'... D/ate............... ...!.��..:_�..:::.....----19..;i:, <br /> J � inch'water ser��ice pipe <br /> , J ....InstalL....�_._�i':i...'... � � <br /> Por ...............::...:. '_:::..:.:._5�..._._._�-.......--•-- <br /> " . � _.. ..,. r . r. /� . ; ,_ <br /> On .........�J..f-�--...a.,_._�......................_`-.........�....:.c:...-...:........ Street <br /> Lot.............................................................. Block No....................--�-----•-••---.. <br /> Addition ....................}..... -........................................................................... <br /> 4' ,'_. � , ...,., �..r..r............._. <br /> Remarks ............:_...l.:.:........_._...................� ---...............-- <br /> .......................................................... ............................................................. <br /> .............................................._.............._......_....................................................-- <br /> 1._:........................................................._......_.......... <br /> ......................................... , <br /> , <br /> .......:....�:....:..:.............:: � ........................._......_.............. <br /> ...............'--__......._. SuPerintendeut <br /> ;�. <br /> LAROR AND MATERIAL USED <br /> No. I Size � _ <br /> ---- .............�� <br /> ............................ Lead Cunnection Complelc <br /> ...................................................... Saddlc Complele <br /> .......................f t............................ ........................................................................Pipe <br /> ...................................................... Scrvice Cock <br /> ............................. <br /> ......................... Scrvice Box <br /> No. Hours Labor..............................................Cost......................__.....___._........... <br /> Cutin....__............Pavement....................X........................ ........................Sq.Ft. <br /> ....................?C........................ ........................ <br /> �� <br /> ...................X........................ �� <br /> ........................ <br /> ...................X........................ �. <br /> Total ........................Sq.Ft. <br /> ---— -- <br /> Remarks.......',.::,.�......:..:...............:............:.......................................__......... <br /> .............._................................................_............................. - ...................... <br /> ......................................................................................................................... <br /> OrderReceived.................................�--;--;,...._..:.'.,......:.................c....... <br /> «brk Completed.....r�...`:.���..::.. ... `... ........__.�.r............:..:_�:�...._ I <br /> �' Foreman <br />