Laserfiche WebLink
i ' . <br /> i .x <br /> w. o. ronwa � � f � � , 9C' � .� <br /> CITY� OF EVERETT--Water Dept. <br /> _. ,_ <br /> Applicat�nn No.-..;j..L_cS..L... Date.................. . ° ' <br /> DEC G......I.61 19.._... <br /> .. .................... <br /> Tnstall.............................. .inch w�ajter service pipeI <br /> sor :�,�1........._-( � _-,�.�.�.. .?:::..�i.c...:.:.:2rv<: ; <br /> ........ � .L-.7Z•nZ..GLn2$...1._ �S'� / \� . <br /> /7 i <br /> On ...........r�1.<f..:..:5........................................................................ Street <br /> Lot.............................................................. Block No... ..........--�--.................. <br /> .'lddition .......................................................................................................... <br /> Remarks ....................................... <br /> ................................................................ <br /> ...................................................................................................... �---.................. <br /> ........................................................................................................................... <br /> ........................................................................................................................• <br /> ......................................................................................................................... <br /> Superintendent <br /> LA60R AND MATERIAL USED <br /> Nc. Size 1 <br /> -- <br /> ......................................................I Lead Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................f t............................ ........................................................................P i p e <br /> .................................................... Scrvicc Cock <br /> . ................................................... Sc:vice Box <br /> ........................... ...................... ............................. ............................................................................... <br /> . <br /> ..................�........................... ............................................................... <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cut in....................Paven�ent....................X........................ .Sq.Ft. <br /> ....................... <br /> ....................X........................ ........................ „ <br /> J??«� � ................. X........................ ........................ „ <br /> �- ��� X................. . .� <br /> .... ............... ... <br /> Total ........................Sq.Ft. <br /> ------------- <br /> Re�na rks............................................................................................................. <br /> ....................................................................................................................... <br /> ............................................................................................................................. <br /> OrderR�cei�•ed............................................................................................... <br /> \Vor}: Completed............................................................................................ <br /> Foreman <br /> —�� <br />