Laserfiche WebLink
� iGr22 �� , �' <br />.,o. .o.� � 40 ' � - j/-i� <br />' CITY O�' EVERETT--'JUater Dept. <br />Application No..%�.�:.:�.��.... Date .........::..'�.....�.........................19�.`l <br />Install ...............................inch water service pipe <br />y ' '..... { :.:. ...: ..... ... .............................. <br />'A,;' For .......:..:. ...�. �. <br />On ..........�.'..�.:�:�::......_C:... �....7C....'� ................................. Street <br />, Lot .............................................................. Block no...---------.............---....... <br />Addi ,ion <br />Ren�arks <br />-- ................. ..................... ..... ...... <br />Sc.perintendent <br />LABOR A2:D MATEAIAL i7SED <br />:.,ead Connection Complete <br />Saddle Complete <br />Service Cock <br />Sercice Box <br />No. Hours Labor ..............................................(;ost................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />. ......._ .... .......... <br />....................X........................ ....................... .� <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />--'— -- <br />R e�narks ............. / . .. ........................... ........................... <br />�y ............... <br />................ .... . <br />� c.—'%'Cic"'! :-�/� �1�_�i�'L:l.�..f s�i /....... <br />.' /! <br />OrderReccived ............................................................................................... <br />\Vork Campleted ............................................................................................ ` <br />Foreman <br />