102 MADISON ST 2016-01-01 MF Import

��.�i ✓� - � -�- y� ; , - � w. o. ronH a CITY OF EVERETT--Water Dept. Application iVo..1:.�::: ?,i._... Date..........?.:.Lr.!.:.:1 ................19...... Iastall ...............................inch water service pipe For...._......... -- ......................................................... - ... -........._.............. .�. „ ..........�!:::.'..::'.�:C:.�: �f.:.-. On ..............__..........:.::....:5,. ...................... Street Lo:............................................................... Block Na..................................... ::dditior . .......................................................................................................... Rema�ks ..... _ ............... .................... ..................... .......................... . _....... � �%��1 ................................................... ............................---� �----- ,, ...................................................��,�:1�-:::::� �<.. LABOR AND MATERIAL USF.D Size_ I ............_.._I icad Connection Complete ........._....... Saddle Comp:ete .................. ........................................................ ................. Servicc Cack -_ .............. Service Box No. Hours Labor ..............................................t;os�.........................................---........ Cutin ....................Pavement....................X........................ ........................Sq. Ft. ....................X........................ " . ....... _ ............... ....................X.........__.....--- �� ........................ ....................X........................ �� ................ ....... Total ........................Sq. Ft. ------------ Rer�arks ............................................................................................ � � ....... ......... ................................ .................................... Order Received.......... \Vork Completed....... ......._ ..................._.........Forem�n ..