Laserfiche WebLink
w. o. rosu a /��/I . -• � C � �� � <br />CITY OF EVERE'TT--Water Dept. <br />Application ATo....c��.''%/... Date.......:..�...-.� .........................19.�:`� <br />Inslall ...............................inch water service pipe <br />For................................................ ... ........................................ ..................... <br />r- S c 1— �C% ..�/.l'C�. �.� %..... Street <br />Or . ...... :............................ . .... . . .f : .. . ......� ��... �. ` <br />Lot................................._..._...................... Block No.........-------................... <br />Addition <br />Remarks <br />Superintendent <br />LABOR AND MATERIAL USED <br />_No. � Siz_ e ^� -- <br />......................................................I Lend Connection Complete <br />......................................................' Saddle Complele <br />.......................f t. ....................... ........................................................................Pipc <br />...................................................... Service Cock <br />...................................................... . Servicc Box <br />No. Hom•s Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �. <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />...................... .. <br />Total ........................Sq. Ft. <br />-- ----- ---- <br />R em a r ks ............................................................................ <br />................................. <br />OrderReceived ..................................................................................... ........ <br />lVorkCompleted .......................................................................................... <br />Fore n <br />� <br />