Laserfiche WebLink
o � ,��, <br /> w�.� ran�� � � <br /> CITY OF E.VERETT--�Xlater Dept. <br /> .-, <br /> rlpplication No..�:�1-c:-': Daie................................................19�0.: ' <br /> 1::sta11.............................. .inch water service pipe <br /> For .................................................................................................................... <br /> On .............�..::'.`.��_..__i:�._.-1.:;...:.�.:...:::ti:�..r.:i:............... Street <br /> Lot............................................................ Block No.....................-----........... <br /> Adilition ....................................................... .................................................. <br /> Remarks .....!..`c'�.:::.:�:.�.r�w.....:....................................................... <br /> .................................................... ..................................................�--.................. <br /> ............................................................................................................................ <br /> �_ ,-. .._............................................................---..............................-------............. <br /> �:f �.� ;- <br /> ...............:..................................................................................................�-�--- <br /> : ��,� Superintendent <br /> LABOR AND MATERIAL USED <br /> No. j Size I <br /> .... ......._...................................I Lcad Connection Complete <br /> ...................................................... Saddlc Complelc <br /> .......................ft............................ ..........................................._...........................Pi pe <br /> ...................................................... Service Cock <br /> ...................................................... Ser�ice Box <br /> ...................................................... .........................................................................._................................... <br /> ...................................................... ................................................................................................................ <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Culin....................Pavemenl....................X........................ ........................Sq.Ft. <br /> ....................7�....................--" �� <br /> ......._............... <br /> ...................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ---- ---'-- <br /> Re:narks.................................................................................................... — <br /> ......................................................................... ............................................. <br /> ............................................................................................................._........... <br /> OrderReceived_. ........................................................................................... <br /> 1VurkComplcted.......................................................................... ................ <br /> Foreman <br />