Laserfiche WebLink
/ 1 O� �; <br /> w. o. rnri l� ' / ✓✓ <br /> •'z.ITY OF EVERE�'T'--V','ater Dept. <br /> , <br /> Application No..,..�-....._�._.._:.: D•ate.....................:�.......'................19..,..: <br /> � / Install...._................_..... .inch water service pipe <br /> � i: ; i <br /> For ..__ .__.._.:_...._._....�.:.�:._:._.._._�:_..c. <br /> ......:............................................. <br /> On ......._.. .::.._':_:...:./.........._s_:...::........:......:..................................... Street <br /> Lot................._..............._....:...- -............. Block Nu..................................... <br /> �ddition ......................................................... . <br /> _... .. ..,................................. <br /> Remarks <br /> .............................._...(.L....:..:...._... .r._i...:.:'- ........................ <br /> ....................................................................... ..................................... <br /> ............................................... ...................................................... <br /> _....................................-� ............... ........- _...................._......................--- <br /> _.......................__...._............................................ ...._.............._.................. <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. ' Sizc I <br /> �____ _. __ <br /> ...................._........._........... . i :.ead Connection Complete <br /> .._..... <br /> .._.................................................. Saddle Completc <br /> .......................f t............................ .......................................................................FiP r. <br /> ._.._....................._............._...._.. Scrvice Cock <br /> ...__............................................... Seruice Box <br /> No. Huurs Labor..............._.............................Cost....................................._............. <br /> Culin.._._._.........PavemcnL...................X........................ ......._...............Sq.Ft. <br /> ....................X........................ �, <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> ....................X........................ .� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> -------- �----- — _�- <br /> ----- Remarks.._............................._........_......._..................................................... <br /> ... ............. ........................................................................................................... <br /> .............................................................................................................................. <br /> Orderreceived............................................................................................... <br /> DiorkCompleted..... ..............._............._ ._ .... ..__._...._..... ... .._.........__. <br /> Forem.m <br /> f�l <br />