Laserfiche WebLink
� -/<o l4� - _.--_ - ���� -- <br />� <br />w. n. ro�w � <br />CITY OF EVERETT--Water Dept. <br />tipplication Nol...C.��../e.� .. Date.........�tae:-:.k.� .................15.-'..� <br />175ta11.._ ��...._ :�....inch water service pipe <br />Fer .........,%?..:G:.....�1..�-./.f�cx..s........:��':r.2.=��n..G..?........... <br />� , <br />On ..........,.?... �,�.-� ....... ..:..!��, ./� �+1�� c:r.�.......... Street <br />...... . . � <br />� ......... .. <br />Lot.........................1,�........................... Block No...........----...................... <br />Addition .....�,:x.ez�:.�.:�..:�,-.......:1�r..r t'-^-`- - _ <br />�y�—� �i <br />.. .. .l[. 1l.2':L_4 :.........................................._........................... <br />. .. ./ " .Y.:,. �.:.:. 9 <br />. �, .,�... � � o ..............................................:�.�'......1....� <br />�`1� � J�l N Superintend nt <br />.Na � � . A u � 1�. � <br />Al\D MATERiAL USED <br />......................................................I Lead Connection Complete <br />..................................__._............. Saddle Complete <br />.................._...ft. ........................... ........................................................................Pipn <br />..................................................... Servicc Cock � <br />...................................................... Service Sox <br />No. Hours Labor ..............................................Cost.................................................... <br />Cut in ....................Pavemm�t....................X.................. <br />. ..... ........................Sq. Ft. <br />....................X........................ �� <br />. . ........................ <br />. � ....................X....................... �� <br />....... _ ............... <br />....................X....................... �� <br />........................ <br />Total ........................Sq. Ft. <br />=- -- <br />Remarks ....... ..................................................................................................... <br />................. ...............:.............:.::.............................................................._.......... <br />OrderReceived ........................................................................ .............. <br />\Vork Completed ...:....................................................................................... <br />Foreman <br />