Laserfiche WebLink
W. 6PfuRM 0. ^/� ��� • ' <br /> CITY OF EVERETT--Water Dept. , <br /> � <br /> Application No.%..:.......'.'._-- : Date.....:...........:...:........:.............._19...... <br /> � Install.....:-:i..��........ .... .inch watr.r service pipe <br /> � _:_.. <br /> , — , , <br /> ' �--...:...:_.........................._:..............._- <br /> For �_.:..'.'.............._.........v....._.. <br /> ----•- <br /> ,� , _. <br /> 1 : ;, >,� _� ii- , � r .......................................................... Street <br /> On ...........................................:..... <br /> Lot.....................................�--..................... Block No.....---............................. <br /> Addition ....... .............................................................�-•-•-•- <br /> . 1 t—........................ <br /> Remarks �-�-- .- ..............._......................_........----......-----..._-;......., <br /> _r�:�_.��..... 1,/ . ' • , �_ i <br /> ................� ................�t........!..............._....,.:............i............-------•, <br /> . , <br /> ....... <br /> _. , <br /> .:�-'-- ..._ ,,l....................................................................-....-------•-----.... <br /> .....r)�:" �....:..:..... <br /> .......... <br /> . ...................--- <br /> .......... ............................................. , <br /> ;: <br /> � r�Q....—, ._..... .... ........................................._...... .......------- <br /> ........................... . <br /> � � �[� , � Supeiintendent <br /> ;/:_�- .� � . __ <br /> LABOR AND MATERIAL USED <br /> No. Size _-L—_. <br /> --- <br /> ......................................................� :.ead Connection Comrlete <br /> ....._............................................... Saddle Complete <br /> .........._...........ft............................ ........................................................................Pipe <br /> ..................................................... Servicc Cock <br /> ............................ <br /> ................:......... Servicc Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ........................ <br /> �� <br /> ....................X........................ ........................ �� <br /> Totnl ........................Sq.Ft. <br /> _" --- <br /> Remarks............................................................................................................. <br /> ...................................................................................................................... <br /> ................................................................................................................�-�---�--.. <br /> OrderReceived._.................................._........................................._..........__ <br /> \t�ork Completed............................................................................................ <br /> Foreman <br /> • <br /> i ' ' � <br /> s <br /> ltti M <br />