Laserfiche WebLink
10 ;,,.,: <br />• � ,• ^a <br />9. J. PNICB[ 9M /� • • �' � . <br />W. D. lORM ] <br />CITY OF EVERETT--Water Dept. <br />�� ;, ^� �i <br />_. � •z :_. t1 � ...� 19.�,t..� <br />ApplicationNo ......................... Date................ ...... .... . ........ <br />Install ............................... ^h water service pipe <br />For....................................... .. _.....;........ ... .............................. .................. <br />���. ���<< :::..........:.........:...................... Street <br />On ......... ...... ... <br />Lot........�/Lc'J ................................. . Block No...........----...................... <br />r <br />Addition................._.................-�----.............................................._................ <br />Remarks <br />................. ...... <br />.............................. <br />Superintendent <br />LABOR AND MATERIAL USED <br />:.ead �on::�r�:on Complete <br />Saddle Co: .�•�ete <br />._._.........._.. ..... _ .. ..........................._............Pipe <br />Service Cock <br />Sercice Box <br />....... <br />No. Hours La or .............................................. <br />..................................... S r t <br />. ........ ....................... <br />Cutm ....................Pavement....................X................ . d. . <br />....................X........................ ........................ <br />�, <br />....................X........................ ....................... <br />�� <br />Total ........................Sq. F':. <br />OrderReceiced .............................................................................................. <br />�Vork� ..'_ ..............Forrman � <br />Completed .................... ............................... <br />