Laserfiche WebLink
7A/ �� <br /> w. wro�h3 /� I f� � . � �"f �?�� <br /> CITY OF EVERETT--Water Dept. <br /> [e ct-L- r/ ... � in�2 <br /> Applicateen Nol�.��.Y/. - . Date........- ..................................19...._. <br /> 7nsta1l...................�........inch water service pipe <br /> � � <br /> For ....... _,�2..rLa1.�: .�.._���.'.�:�L-C�t:�.�t..�:�..... <br /> On .. ..��:..�..5.........,�J.:?rr�r.t.{-f�::�.:4..:`rCC ... ..--- S.reet <br /> Lot.............................................................. Block No........�..............--- <br /> Adc3ition .......... ....................................... ................................................... <br /> Remarks ...............................------............ -�--�-�---..................---...--�---...--• <br /> . ...................................................................................................�-�--....... <br /> --........................_.........................................--.................................----•---....... <br /> .......... -� ..............................................................................................---- <br /> ........................._-........._._....... -..............................._..............---- ........--- <br /> 5uperintendent <br /> LABOlC AND MATERl+1L USED <br /> No. Sizc <br /> .—_ — <br /> ...._.._�._ Lead Connection Camplele <br /> ..................._.......................... _...' Saddlc Complcle <br /> ......_._..........!t....._................_.. ........................................................................Pipe <br /> ....................................._......_.._. ScrviceCock <br /> ........................... .......................... Service Sox <br /> ................_........, . <br /> � <br /> ............................_.......... . .... . . . <br /> No. Hours Labor._........................__...............Cost.................................................... <br /> Culin.............. ..._FavcmenL_..............._X........................ ........................Sq.FI. <br /> ...................X..................._... ,� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> Totat ........................Sq.Ft. <br /> �—=z---------'— — <br /> fiemarks................................................................................ ......................... <br /> ............................. ........... ............................................................................. <br /> ......................................................................................................................... <br /> OrderReceived...................... ._..._............- ....................._....................... � <br /> \Vork Completed.............................................................................. . <br /> Foreman <br />