Laserfiche WebLink
S. J. Pri•b��M�f61t>SS 3 <br />W. D. Porm ] <br />CITY �OF <br />_ _ . �� <br />EVERETT--Water Dept. <br />%�.J`3 � /� 1..�.1...�....is.:�% <br />Application No ....... .............. te.............. .....'..... . <br />Instal�......_.�L-••••���� ��-inch water service pipe <br />For ............................................. .......... ..................... ....................... <br />............. <br />.. <br />...._�-�5�:.".: F:: {.......... <br />3....Q...G!...�.� ............. Street <br />On.................... . � <br />Lot....................................�"--......................Block No......y7....?�.y........•- <br />Additicn ....................... <br />...... .. . ........................... <br />.... ......... <br />''�'''��,Q ,r. ;•� _" .................' .......-- <br />Rem2cks �.-'-.•~:' .....:...................................... <br />............................ <br />No. <br />%....ff..,......I .........................._-v - � <br />Superintendent <br />G � /��j - <br />� ¢ �9 LABOR AND MATERIAL II9ED <br />„_ .....................I Lead Connec:ion Complete <br />........................ Saddle Compl�ie <br />.. ., . , a.:.:1�.:>'.:tF .:....:......................Pipe <br />..........�.`.:...... -. <br />..... . ....,�.......... . <br />� '� Sc�vice Co � <br />..... . <br />� ................ <br />Service &ox <br />......................... � <br />/ n " �c��:�....:c�:'��.:...... ................. <br />•. /�.....,/...y. �:.. <br />. . ........... <br />. _ T.,. -1�7 .. . ,1:. ,..rr . <br />< c �c <br />No. Hours Labor ...........................................%.Cost�..� 1.:_U...'.z..............._S..-•Ft. <br />. .... ....................... � <br />Cut in ....................Pavemer.t....................X.................... . 4�� <br />� ��' ....._............X ........................ ........................ .� <br />--����..Z.+ , c , ....................x....................... ........................ „ <br />.�.I �"' Total . -....Sq. Ft. <br />------------ <br />?3emarks ..............................................................................�-� •--�•--�--................. <br />.... ...........................................-�--- <br />OrderP.eceived ........................................................................................ <br />�'J orL Completed ..................................................................... ..� Foreman.. <br />