Laserfiche WebLink
� <br /> 0. J.��RIt�[ iM/O� � � 'L. �, :-� ���-� <br /> W. D. IO11M ] <br /> CITY OF EVERETT--Water Dept. <br /> Application No,/..Q.�.P./.._.... Date......---•Lr.�..-�cE��.%-••---........1 .9�.`.-.�' <br /> 7nstall........:�.............inch water service pipe <br /> For ....................... .. ��....................................................................------ <br /> On ......,�,,�j�s,••...-C.?.,t.���:t.:I�......................................... Street <br /> Lot.............................................................: Block No..........--•-•---...........---..... <br /> Addition ............................. ................ . <br /> . . . .;,....................../........—....-..�..-..—............. <br /> Remarks �Lccrttc.c<.A/.�'.-=-........_F.-�Ga[�y4c-.....E.,i.!�..r:fs:r.�x...... <br /> ................................................ . <br /> .. . - - - . . . . . . <br /> �) �7 ) :.......................................................•---... <br /> .........�G.QCGt,C.C!.,:lCfi....,. �5.5-s��......................... <br /> - ......."""'................... <br /> ................................................................................................................"""'....... <br /> � � /�� <br /> ............................................................""......................✓�..r�...1f.:Y�!,� ...... <br /> SuperinYendent <br /> YI?Cc� <br /> LABOB AND MATERIAL U9ED <br /> Na � Size <br /> ...................................................... Lead Connection Compl�te <br /> ..................................'r/............... Saddle[Complete <br /> �.�I.�.Ll.ft.. �;r..�i.�........_.. .�:1..a:i�::..'....:........................................Pipe <br /> .............. ....... <br /> .................�......... <br /> .'�'..{.:............. Ser.vice-Cock <br /> .....................�:....................,......... Service Box <br /> ...........................� .......................... ................................................................................... <br /> ............................. <br /> ......................... . . . . . ............................................_.................................................................. <br /> No. F(ours Labor..............................................Cost..............................................._... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> � ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> =—'t—'----- <br /> �� �� J <br /> Remarks...................................�..... .ctr......�._.a.::,.,........................................ <br /> � <br /> ................................................:..r. , . _,,- .,. <br /> / .!.F,..._L.e..c.....................::..................... <br /> . <br /> ..................................................J.�,,.s.,.:�....................._...........-�---...........-- <br /> OrderReceived..........................................................................._.........._ _ <br /> \V� `n n ii!?_ �.,... \ <br /> ork Completed._:t.:-%.�.::..�..s..................:::... :...::.t:............�......... .. <br /> Foreman <br /> � <br />