Laserfiche WebLink
w. o. ro�w�� 4 v �' � <br />CITY OF EVERETT--Water Dept. <br />Application No.�l-' �:T... Date......._1::� _' � ................19.1.: <br />� ., <br />. .......:. .. <br />Install ................. ............ .inch water service pipe <br />� . <br />For _...._..... ^.:��.1-� :•..,:: �... ._.�1u:t.:z;:�../ ......................................... <br />� - -� <br />S�!:c.'_...._...�:�:::=.r..,;'.:tsr..< ............... Str�et <br />On ............... �... ............. _ <br />.� <br />Lot,l._j.-.�.Y..-_!.a.'./...F..:.L,7......_-----•--... Block No..-----_.......----� ............. <br />Addition.......................................................................................................... <br />Retnarks ...::�'<:l.�.z..S.:.....x::r'..r_.�_r._...� ....................._......-------....... <br />. . � <br />.r..��l:s_�'G��.....:.T.."..__... :l.c'.k:.:.�:. � ............................................._... <br />� <br />�LABOR AND M9TERIAL USED <br />Lcad Conncction Cumplete <br />�- Saddlc CmnplMe <br />'._........ _ ......................_..... .............................Pipc <br />Servicc Cock � � � � � � <br />Scrvice Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavemcnt....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ ., <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />-- --- ' <br />Remarks................................................................................... ......................... <br />...................:................................................................................................... <br />OrderRecei�•ed ..........................:...........:........................................................ <br />\Vork Completed ......:........::.::...:...:.............................._............................. <br />, ; Fareman / <br />