Laserfiche WebLink
S,-j. Pd.b.Oi 7.462935 22 <br />W. D. Form 3 /05 <br />CITY OF EVERETT--Water Dept. <br />el-9 <br />Application No ......................... Date ......... ... ..... .............. ............ <br />19 <br />service pipe <br />Install- ..... 19W .. . ........... inch water <br />For .. } 1-1 2 �� .1 , " �, ��_ -?.t �., ................... <br />..,= Z . . ............................ ......... <br />�'WI­2 ----------- <br />On...................... :f ............. ......... ................. ........ Street <br />Lot.............................................................. Block No..................................-- <br />Addition .......'................................................................................... <br />) ............ <br />Remarks ............... ................. <br />..........................Lc.... ...... <br />............eZ��n "n <br />LABOR AND MATERIAL USED <br />No. Size <br />......................... . ....................... Lead Connection Complete <br />.......I.........._.._.. ddl C�m .at. <br />L .... : .......... ............. Pipe <br />-0 .. <br />L Co .... , <br />... .......... ...... ft . ............ 0 <br />,a S... Service Co k <br />Bo <br />I ............... ... ....... service Bo <br />/:! I d . ..... .. ..... L2 <br />----- ........ I ........... .. . .... ..... ................. <br />................. j ........ .. I? .................... . ..... . <br />n <br />-------............................................................................ . ....................................... <br />No. Hours Labor ................................... �__?_..Cost ..... E11:17 .............................. <br />Cutin .................... Pavement ......... .......... ................... �..Sq. Ft. <br />W.................... x ...... I ......... I-- ....... . ...... ........ <br />.................... x ........................ ....... . ............... <br />................... x ...................... I ........................ <br />Total ................... �_-..Sq. Ft. <br />OrderReceived .................................... .......................... . .............................. <br />WorkCompleted.---...................................................................................... <br />Foreman <br />