Laserfiche WebLink
CITY OF EVERETT--Water Dept - <br />Application No. Dale...... 1....t.r:..............19...... <br />Install ...»3�................inch water service pipe <br />- `- . / , f— <br />For .......... � St.Cva::at1..........r'. L672�t_: ....L..(21... .Ytr h.i <br />On ........J <br />.. .. .... <br />a»z•--..d...... Street <br />Lot�I ... d. _ _.._.... Bl ek k %......-_......_....._..__ <br />Addition jj <br />.Llt...........iri.�4.f1�............... <br />Kemarks.................... ......... ............... ........... ........ »...... <br />............................................. ..._..__»... <br />Gi...................... ................................................ . <br />O <br />............ <br />MAY ✓ sute ent <br />LABOR AND MATERIAL USED <br />................. _....... ............... _........ . Lead ..edd Connection Complete <br />............. ...... _.._...................... ....... le Complete <br />.................... a ......................... ..:......... ................ ............... _.................... pipe <br />.............. .... 1..... ..... /,................ Service Cock <br />.............. _.... _...... .`.,..G:.i —Service Box <br />No. Hours Labor .............................................. Cost- .... ..................................... <br />Cutin....................Pavement.................... X....................... ....... ................ Sq. Ft. <br />/y �•.. ,............ ....... x........................ ........ ...... ___... .. <br />.................... x........ I............... <br />Total ................ ....... Sq. Ft. <br />Remarks.................................... ._:..'%a.-... :.....:...... .................... <br />..................................................... <br />OrderReceived.................................................................................... <br />........ <br />- r. <br />Work Completed_`a................... .....:.:'��..t�1!: �5 .............. <br />Foreman <br />