Laserfiche WebLink
� w. o. ronwa /�V ��-. __ -` __ __ l%� ',`).._.. _ _"� , <br /> CITY OF E�'ERETT--Water Dept. <br /> /� ��1/-� . Ji "_ / � 1 <br /> Application No..l�:...:......_ ... Date......:-....._..............................19_.::� <br /> lnstall...............................inch water service pipe <br /> For ............................�........................................................._............................ <br /> <- <br /> /,�.� �i1�_-� ._,_t,, �:, <br /> On ........... . ...�......�.._:.......:....:..:'................................. Street <br /> Lot..........................................�.................. Block No...---............................... <br /> Addition ......................................................... <br /> .................... ........................... <br /> Remarks ................................................. <br /> .................................. ................................................................ ................�---• <br /> ........................................................................................................................... <br /> ....................... ...............................................................................-----�-•----..... <br /> ..................................................................... ........� ............................ <br /> , Superinlendent <br /> LABOR AND MATERIAL USED <br /> Na � Size I � <br /> -- <br /> � 'i.ead Connection Complete <br /> ...................................................... , <br /> ...................................................... Saddle Complete <br /> .......................ft............................ ........................................................................Pipe <br /> ..................................................... Service Cock <br /> ...................................................... Scrvicc Box <br /> No. Aours Labor..............................................Cust.................................................... <br /> Cut in....................Pavement....................X........................ <br /> .......................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> . ........................ <br /> i <br /> Total ........................Sq.Ft. <br /> ___�'--- --_ <br /> Remarlcs..................................................................................... ....... <br /> ............. <br /> ......................................................................................................................... <br /> ..........................................................................................................�---�--.....---�� G <br /> OrderReceived............................................................................................... <br /> �Vork Completed........................................... ........ ......................_.........._ <br /> Fcreman <br /> .,. <br />