|
S.J:'Yrie6e4M 7.4���� � V.. �' '
<br /> W.D.porm Y" �
<br /> CITY OF EVERETT--Water Dept.
<br /> :1ppl;c�t�an No.. .... • ; j . /.
<br /> D�te._ ._c... .....19......
<br /> .....
<br /> �. Install., �� . inch water service pipe
<br /> , d' �� ,
<br /> For ...............�..:.. ,1�.... ,:.�_ ._, �_,� �J
<br /> .....
<br /> ,. __.--....................... .. ... .
<br /> . , .... ._........
<br /> . , ................_---
<br /> O�z � � . i. '
<br /> ....:............ .. , . . , , �,
<br /> ...........: .........:..:.......:...............:..._.�-..-........ Street
<br /> Lot...........................�-............................... Block No...................---....--
<br /> Addition � """"'
<br /> .................
<br /> ............... ........
<br /> ............................ ..
<br /> ..........................
<br /> t�emarks ............./ � � , . / . , ,
<br /> . .:.:..............................:................
<br /> ......... � ... . / , .._........------...... �—
<br /> ................. . ,
<br /> � ............. •--..............._.........
<br /> • , . . .� l`'; .... . ...
<br /> ,� _.....-'---.::'j.
<br /> . f�... _ 1; , �
<br /> .... �
<br /> ...
<br /> ,�/,
<br /> .) �. ....
<br /> ¢-�-, y , 7,� ;�, ,....:....�i� ,� .... 9 .
<br /> ,
<br /> r�
<br /> J
<br /> /� ..� 1 1
<br /> � I .......... _......... � ` ��.
<br /> /� , �� � t�` �'. . ...... ................ /� . . .
<br /> - F" ,t �1 � �,'�- Sup�rintendQnt��'. .�J,�
<br /> r '',,, �,` . �, �--,LABOR AND bfATERIA7. USED
<br /> --N �. i . �� Sizc'�. �
<br /> ..`:
<br /> Lcad Connection Complete
<br /> ........._...... � ::.� -
<br /> ..... ......i
<br /> ........................ .... �' ............... Saddle Cmnpletc
<br /> ......................f ............................ ........................................................................Pipe
<br /> ...................................................... Servicc Cock
<br /> ...................................................... Service Box
<br /> ........................................
<br /> N�. Hours Labor_--................................
<br /> ........Cost...................................................
<br /> Cut in....._..........._Pavement....................X........................ .
<br /> � ;� ...................._..Sq.Ft.
<br /> , .. ; ._.................X. ��
<br /> �. � . ....................... .................
<br /> � -` L.. � - .......
<br /> -" � � "� ....................Y......... ,�
<br /> ............... ........................
<br /> l , _ ,
<br /> , , ...................X........_............
<br /> , , .. ,
<br /> . _ . ,• ,�_ _Total .........
<br /> ' ----- -- ........................Sq F
<br /> � ! -•�� ------ • t.
<br /> Remarks� .......... :. —�—
<br /> ,,s^� .._:..:.,.....
<br /> —--
<br /> I . ........ _ ................_.........r...�f..:'............
<br /> ...
<br /> �� � i '
<br /> .............. - ......_...................._......
<br /> ..........................
<br /> ....�. :..........................
<br /> ; ,' \'
<br /> ..........--..........._.............................--........... �
<br /> ................ :................................
<br /> Order Recei��ed............._..........._..._..._. -
<br /> i
<br /> .........-............................ ............
<br /> \�;ork Completed._:::.`...:.:.::'1....: - ----.L........1. /�
<br /> � .......................... .........
<br /> Foreman ,
<br />
|