Laserfiche WebLink
9. J. PNILOE ]M �337/ � � �' � `t � <br /> W. L, fpPM ] <br /> CITY OF EVERETT--Water Dept. <br /> ,, .. ,., , . . �; ` <br /> Applicatiun No......,._�_.�;..r..` Date........�., 'G4:LL:..I........19.C.°% <br /> Install...........................�nch water service pipe <br /> r��• ................._ .... ....._.... ......... .. ................................ <br /> � . . .. <br /> .... ...... ...... <br /> � : •' , _ , <br /> .. ... .. <br /> On ....:.:......r �..:�.......... ......... ..1..:Z/j::'.>.:1,�����.4�:-.. Strert. <br /> Lot.. ........ ................................................ Blo:k No..............-- -.... ............ <br /> :lddition ..._............................._......................................................_............. <br /> Remarks .. ....................................................................................................... <br /> ............................................................................................................................ , <br /> ......................................................................................................................... <br /> ................................................................................................:........................ <br /> ........ .................................................................................................................. <br /> , Superinlendent r� <br /> LdBOR A�D 11fA1'F.RIAL USED <br /> __ No._j Size � <br /> ._.. .....................�....................-i:sad Conncction Completc <br /> ..... ................................................' S:iddlc Contplr.te <br /> .._..................ft............................ ..._........._........................._............................Pipe <br /> ._.._............................................... Sen•icc Cock <br /> ..................................................... Ser�ice Box <br /> ._................................................... .................... . ....................................................._.................................. <br /> _......................... ._.......... ............ ._.__.._...... ................................................_................................._.... <br /> No. Hours L�bor................_............................Cos�.._............. <br /> ................................... <br /> Cutin...... ..........Pavement...................X_..._................. _....................Sq.Ft. <br /> ....................�........................ �� <br /> ......._............... <br /> ....._........... .X........_ _......... ........._............. .. <br /> ...................X........................ .� <br /> ........................ <br /> Tolal ........................Sq.Ft. <br /> -' ------ --------- <br /> --- <br /> Remarks.................... .................._ ..............._..................._......................... <br /> ........ ............................................................ .............................................. <br /> ....................................................... .................................................................. <br /> Order ?ieceiced.......................�..... ....... . . .................................................. <br /> \Vark. Completcrl......................................................................................... .. / <br /> Foremnn I <br />