Laserfiche WebLink
� !7/.�O _ 4� <br /> �_r��s� <br /> W. �. fO11M ] � <br /> CITY OF EVERETT--Water Dep�. <br /> Application No..�.�.L. ��'.... Date........._�.��..�.�'....`/...........19...... <br /> Install...............................inch water service pipe <br /> Fos ..............................f..--....... -�--.............,........--....................................... , <br /> On ......._�.�._:r...J�t,�.�l,�_!--(�.�.-............................... Street <br /> ........ .. <br /> :1. . <br /> U <br /> Lot.............................................................. Block No............-�-�---................-- <br /> :lddition . .... � ............................................................................................ <br /> Remar' -�............ .......................................................................�-�--......-- <br /> ............._..................._.................................---............ -...............-------------... <br /> .... -.........................--.....................--.....--.................................-----�-------... <br /> ......................................................................... .... . . . <br /> ���� '.... <br /> /�C.4 �z.�.................. <br /> ..................... ..................................... .........__...................... -- -.. <br /> Supenntendent <br /> t �:�( [ �-[ C.-r <br /> LAP.Or AND MA'SF�PIAL IIS � <br /> No. S�z� �— <br /> .... ............................................I :.ead Connectii>n Complete <br /> ...................................................... Sa3dlc Complete <br /> .......................ft............................ ........................................................................PiFc <br /> ......__.............._............._............. Scrvice Cock <br /> ...................................................... Ser:ice Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X....................... ........................Sq.J.'t. <br /> ....................X........................ ......._............... �, <br /> .._....--......_X._..................... �. <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> Totul ......._--........_.Sq.Ft. <br /> ----- ' — <br /> Rem:.rks............................................. ............................ ............ ............. <br /> ......................................................................................................................... <br /> ............................................................................................................�--�--�-........ <br /> OrderReceived................................................................. ......................... / <br /> \Vork Complcted..................................... .................................................... I <br /> Foreman � <br />