Laserfiche WebLink
/�7D7 _ � , cX, <br /> � � <br /> w. o. ro�r a � � � <br /> � - CITY OF EVERETT--Water Dept. <br /> � J <br /> Appllcation No...f�.,7�..�. Dnte........-:.........�.........................18.j c� <br /> Install.............................. .inch weter servlce pipe <br /> For ..............................f .............1•....:....................................................... <br /> C lL� „�. ..................... .. <br /> On .......�.�:./_�....................... . . ...... . . °treet <br /> Lot........................... �'...:...... Block N�. <br /> .................................. � ................................. <br /> Additiou ................................................................... . ................................... <br /> Remerks ................................................................. ................_..................... <br /> .................................................................................. ........................................ <br /> ................................................................................. ....................................._... <br /> ........................................................_.............................................................. <br /> ........................ ................................................................................................... <br /> Superintendent <br /> LABOR AND MATERIAL UBED <br /> Nn. Size ' <br /> --- <br /> ...................................................... Lend Connectlon Complete <br /> ...................................................... Snddle ComNlete <br /> ......................f t............................ .......................................................................Plpe <br /> ...................................................... Servlie Cock <br /> ....._............................................... Servlrn Soi <br /> No. Houre Lsbor..............................................Coet.................................................... <br /> Cutla...................Pavement....................X........................ ......................_Sq.Ft. <br /> .....:..............X........................ .� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> Remarks........................... ................................................................................ <br /> ...................... .................................................................................................. <br /> ............................................................................................................................. <br /> OrderReceived............................................................................................. <br /> NnrkCompleted....................................._............ . .....................__........._. <br /> Foremnn <br />