Laserfiche WebLink
/?.�'�Z � <br /> w. o. ronH a _. l' . .'r � <br /> � � CITY OF EVERETT--Water Dept. <br /> Application ATo...1..:1;%.:.:..��. Date........._.='..::.�-:•_�_..`�...............19...... <br /> 7nstall...............................inch tvater service pipe <br /> For .................................................................................................................... <br /> On ............................G..�..l.:�......r_f�.:..^...'.1...._(�;�i.�.j:............. Street <br /> 0 <br /> Lot.............................................................. Block No................---.................. <br /> 2ddition .......................................................................................................... <br /> Remarks ................................................................................ <br /> .......................... <br /> ...............................................................................................................•--........ <br /> _....�.'.�.Lr...J...................... <br /> ............................................................................. <br /> .......................................... . . . .� .� �::'~1..�':::.::..: <br /> ................................................................. Su erinlende <br /> ........................ <br /> P n <br /> .�/%��, <br /> LABOR AND MATERIAL USED <br /> No. ' Size <br /> --- <br /> ...................................................... :.ead Conneclion Complete <br /> ...................................................... Snddlc Complcle <br /> .......................ft............................ ........................................................................Pipc <br /> ..................................................... Servicc Cock <br /> ...................................................... Service Box <br /> No. Hours Labor..............................................Cosl.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> .....:..............X........................ �, <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — ---- — <br /> ---- <br /> Rema rks................................:...................................... <br /> ..................................... <br /> ..................................................................................................................... <br /> ......................................................................................................................... <br /> OrderReceiced............................................................................................... <br /> \Vork Completed........................................................................ .. ......__ ! <br /> Foreman <br />