Laserfiche WebLink
& J. Pql[BC ]M'�G� `f' f <br />h'. O. fO9M ] <br />CITY OF EVERETI'--Water Dept. <br />A ,� � 13� o � ��9� / <br />P"r cat�on No.......` ........... . Date ....... .... ...... .. ......-... ... - ..19...... <br />, �� 1: sta11 ......... ........_.......... .inc/h water service pipe <br />For ' .. . .L<�:�.tt. C� <br />.�t.<.._...✓%Y�Y7-tnna.c� ._............----......_........ <br />On ....!� .3. n.:3.......L.G`r..�.� �...:. .. Stmet <br />_ ...............................— <br />Lot..........................._................................. ,';iock No..._----�-----........-------- <br />Aa'ditien ......._ ......................- -- <br />........... ......... - <br />Pemarks ......... ......... ... _......_.. <br />. � r .... ..... .... ... <br />_ .............._ ..._... ..l �.i.. t t: �c i� -- <br />_ ........:................. ......................... - - -- - <br />.........................................................(� ........,....... ..`....---r.......-- <br />..............._...... . ..._................................ G.� C .l.[..(.:.�C.,..ia.t,.L.`:z,t- <br />�� .� Superintenden� <br />/ <br />i.ABOR ATD MATERIAL USED <br />Lcad Cnnneclion Complete <br />Saddlc Complele <br />._...........Yipe <br />:-.._.......I Service Cock <br />Service IIox <br />No. Haurs Labor..........._ ..............................._Cost.._........................................_. . <br />Cut in........_.._...._Favement..--'--.._..._...X ........................ <br />............._... _....Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X..............----...... . �� <br />........................ <br />...................J{........................ ...................�. <br />�� <br />Total ..._.........._.... Sq. Ft. <br />— -` — — <br />Remarks..._- - ............................................................. ................................. - <br />.......................... <br />Qrder Receit•ed... <br />\Vorl: Campleted .................................... <br />................ �........................ <br />................._...�._... _.._..... <br />Foreman <br />