Laserfiche WebLink
B72i/�:. . . � <br />w. o, ronw � <br />CITY OF EVERETT-.Water Depr� �� <br />APPlication ATo..._::.%-�_� ^.. Date..._...--'.:..:�..-:�c::�...._............19..._.. <br />Iastall ...............................inch water service pipe <br />For........ � ............... ................................................... <br />. . ............................... <br />011 1 H........�LC.rZ.��.Ga.::CL'J_ <br />._ ......... ....... ./........ . -- -................... Street <br />I.ot ............................................................. Black No........--.......................... <br />Addition- . ............. -� -.......--�-- - .._......................... --...--- .......... <br />Remarks........................................................... <br />- ............................ -----...... <br />, <br />/ !/ <br />._.._.._ ..............---...... -............. --........................ ._........_--......---- <br />_ .. ............ <br />,.. _............_ ..........-- ................................ <br />•- ....- -------- .......... <br />�: � <br />:_......_..:.. , , <br />......................................................._.... �-��.. <br />- , ...... •-- -�-t -.z:'-% <br />Superintendcnt <br />_ _ _ � �/ �� <br />_ S.ABOR AND MATIRIAL USF.D <br />ILead Conncetion Complete <br />.....-.....� Saddle Complete <br />Service Cock <br />Scrvice Box <br />No. Fiours Labor ..............................................Cost.....................---...................---...... <br />Cut in ....................Pavement_-................X........................ <br />........................Sq. Ft. <br />._.._ .............X............---._ �� <br />....................�......................... ........................ ,� <br />....................�........................ ........................ �� <br />Total Sq. Ft. <br />... ........_ ......................._......... <br />. _........"-......... _.... _.......... _. .. .........................................................._'..... _........'-" <br />OrderReceived .......................................................................... - ......- - <br />�Vork Completed...._ .........................................................._. <br />....... ...... . ....... <br />Foreman <br />