Laserfiche WebLink
' ' ,�i �� ' 7 •-�C 7/ T <br /> w. o. ronH a <br /> CITY OF EVERETT--Water Dept. <br /> Application No.....�7/.�� �'. Date_......�3..:..�..:_�. `l <br /> ...:...............19...... <br /> lnstall...............................inch tvater service pipe <br /> For ...................................�---.. ................................................................----..... <br /> On ........�._�-�•�,--...��.£��.:�t:2S:,a��........_............................. Street <br /> Lot.....................................'......:................ Block No..........----...................... <br /> Addition .......................................................................................................... <br /> Remarks ...................................................................................................-�-��- <br /> ...................................................................................................��--�-�---............... <br /> ............................................. ..................................... ........... ........................ <br /> . ... <br /> ��� �-�hc_ <br /> ............................................................................!�:..........................-- -... .. <br /> � / 'Superin�endent <br /> j�`�f(�ti�-c1�c/ . <br /> LABOR AND MATERIAL USED <br /> No. ' Size � <br /> ... ............................................. Lcad Connection Complete <br /> ...................................................... Saddlc Complete <br /> .......................ft............................ ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> No. Aours Labor..............................................Cost.................................................... <br /> Cutin....................Paver+ent....................X........................ ........................Sq.Ft. <br /> ....................X........................ „ <br /> ......._............... <br /> ....................X........................ ., <br /> ........................ <br /> ....................X........................ �� <br /> ............. ...... <br /> Total ........................Sq.Ft. <br /> - - — <br /> Re m a rks................................................................... ......................................... <br /> .......................................................................................................................... <br /> ............................................................................................................................. <br /> OrderReceived............................................................................................... <br /> \V�rk Completed........................................................................................ .. <br /> Fureman <br />