Laserfiche WebLink
r o, ronw a � �����e.. <br />CI i Y OF EVERETT--�Xlater Dept. <br />Applicaticn No....�� l,�/ Date..........�'.._:.� �: � <br />...........................19.. ` <br />lastall .............................. .inch water service pipe <br />For............................................. <br />.................. ................................................... <br />On ...._C:._-r. �' ::'-- - �-, <br />.A"l':�.��,--C�c.^% ............................ Street <br />Lot............................................_.;!............ Block No.._....................---•---..... <br />:lddition ....-.--_ <br />Ren:arks <br />......................... <br />� <br />3uperintendent <br />LABOR AND MATER[AL USED <br />No. I ���o i <br />:.cad Connection Complete <br />Saddle Complete <br />............................................. ..........................Pipc <br />Service Cock <br />Service Box <br />No. Hours Labor ..............................................Cost................................... ___ <br />Cut in ....................Pavement....................X........................ ............... <br />........................Sq. Ft. <br />....................X....................... „ <br />........................ <br />........................ �� <br />.................. ........................Sq. Ft. <br />— Total <br />-------- ...................�_ <br />--- <br />Remarks ................................. . <br />......................................................................... <br />_ . ............. - _ <br />Order Received ........................ .. ..... .. <br />..... . ... ..... <br />\Vork Completed ... ................ <br />....... .. ............... <br />Foreman �� ( <br />