Laserfiche WebLink
I, • <br /> 4 J. PNI[BC� � 73� �/_ �/ / 1 <br /> w. �. lONM � �� � : <br /> CITY OF EVERETT--Water Dept. <br /> Applicetion No......�..:.;...:..<<.� Date.......A��..�......1301...........----...19...... <br /> i- 7nsta1l/..........................inch water service pipe� <br /> F�� ...... ....�(�� ..�'-�-�-,-n. -�—r�.�.._..Y.�'I.c...G.:r.:�:;: r� -�.� <br /> /. . .. ...... .. ....... ................. ... .... <br /> On ...... .....�(6.��:....�.�.._./.�..�i�......_��_�1..'.�................ Strect <br /> Lot.............................................................. Block No.................................... <br /> :.�idition .......................................................................................................... <br /> Remarks ................. ...................................................................................... <br /> �'�. <br /> .............................._...................................................._...................................... <br /> ............................................................... ...........................................�--............. <br /> ............................................................................................................................. <br /> ............................................................................................................................ <br /> Superintendent <br /> � LABOR AND MATERIAL USED <br /> No. ' Size I <br /> — T— -- <br /> ......................................................I Lead Connection Complete <br /> ....................................................... S�ddle Complete <br /> .......................1t............................� .............._........................................................Pipc <br /> ......................................._............. Servicz Cock <br /> ........................ .... ...................... Service Box <br /> .................. ..... � . . . ............................................................................................................... <br /> ........................��.�............�.....�...:.. ......._........_._............................._...._...............-................_..............._... <br /> "'"""'�J................ ...... ..............._................... . .... ... ............................. <br /> No. Hours Labor.............................................Cost.................................................... <br /> Cutin....................Fav�mant....................X........................ ........................Sq.Ft. <br /> �hr�L�`� - � 3 ....................X........................ .....__............... „ <br /> c: ...................x........................ ........................ „ <br /> ...................x........................ „ <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ------' ----- -- <br /> Remarks..................................................... ...................................................... <br /> �...�.....°��.....frra{C.........S�nJr k-:v - I>> G'r�v� <br /> ............ ....... .......................................�.......... <br /> ................................................................... ......................................................... / <br /> OrderRecei�•ed............................ .................................................................. <br /> \Vork Campleted......................_...............................................................__. <br /> Foreman <br /> —�+_ <br />