Laserfiche WebLink
�. _ \ <br /> -/GO3 ! - <br /> w. o. ro�r a <br /> CITY OF EVERETT--Water De�t. <br /> Application No...:'1:;::�.�'.... Date..........._�:...:..�-....Y...............1&�..i. <br /> lnstall.............................. .inch water service pipe <br /> F � � � / <br /> For ............<....,s.�_...../....... 'rs:::.r�a..��......................... <br /> �^: � � ,y.L'pS�t�r� <br /> �� ;-.........ta:...¢...�..t:.�:. l.�G.`�.�c.`lL....... S� c�t <br /> On ................�'�..... ...::,. <br /> Lot.............................................................. Hlock No......................._ ... . <br /> Addition .................................................................................................... <br /> / _... <br /> Remerks ..........L.T«.a.l.:... .s:<.,'.r.'::.�.:..::.....<'�:. ./.l:-Z...z:................. <br /> ..... ......y�........................................................................................................... <br /> .':. .... .... ........�:.......................................................................................... <br /> ...�.�.................................................................................... <br /> .......................... .................................................................................................. <br /> Superintendent <br /> o� LABOR AND MATERIAL U3ED <br /> No. Slze <br /> --��-- ---�— — <br /> ...................................................... I.end ConnecHon Complete <br /> ...._......................................_........ Saddle ComPiele <br /> ....._................16.......................... ._........................_................ .........................P i p e <br /> ..................................................... Scrvice Cock <br /> ..................................................... Service Box <br /> No. liours Labor..............................................Coet.................................................... <br /> CutIn....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ..___............X........................ „ <br /> ........................ <br /> ....................X........................ �� <br /> ...................... <br /> Total .................__..Sq.Ft. <br /> ��e .– ..��_�_-�-. <br /> Remarks..................................................... ................................................... . <br /> _.................. ....................................._ _...._._......................... <br /> ........................................................................................................ ............ ... <br /> OrderRecch�ed..........................................._............................................ . <br /> \Vnrk Completed......................__......... ..............._ __.. __..... _ _ . / <br /> _. _..... }'crrmrn <br />