Laserfiche WebLink
. - - � �..��00_ � _ r/ �> <br />W. O. �OHM ] y . ' . �' L� .!� (i�.j3 <br />CITY OF EVERETT--Water Dept. <br />Application No..,-::'1:_'i�.�.�c.... Date........_r.'...:���....'r ................19---�- <br />Ins:all ...............................inch water service pi�e <br />For............................................................................. ................................... <br />� � . ,. . <br />On ..........._ ..,/ :.:.........../ic;.� �/�.e::��,L................----...... Street <br />Lot.............................................................. Block No...................--��---��-•--��--- <br />Addition........................... ............................................................ ............. <br />Remarks. .................� -........................................................ <br />• • ...........- •• �--��- <br />� % %� r�-- <br />................................................................. _----................................---........------.. <br />No. i Size <br />LABOR AND MATERIE.L USED <br />I Lead Connection Complete <br />�... Saddle Complete <br />,....... ...._......_ ...................................... <br />....... Servicc Cock <br />....... Scrvice Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ ,� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />---- -- <br />Remarks .............................................................................. .......................... <br />OrderReceived .......................................................................................� <br />\Vork Completed ........................................................................................ <br />Roreman <br />