Laserfiche WebLink
5 J. �iebe�M 7d6 29955 � 733 ` ✓• v ' �' <br />W. U. Farm ] <br />CITX. �F EVERETT--Water Dept. <br />- > ./- <br />APPlication No........�✓.�..:r��ate......F•...-....._z2. �..�........19 r!,t <br />Install.... �." f mch water service pipe <br />For ...... ................... ............. ..:.. :. �. `4.'..::.'..`�"::....................... .. . - - <br />.. <br />... . . - - <br />On ...........�='..J..�,.t �`�...r...!Ll.::.��t-c.t!..�..r...- ................... Street <br />Lot ............................�.�...!l........................... Block No......:�_�..��............-- <br />Addition ..................... <br />.. ... . . ..... . . . ...-------- <br />.. . ......................... <br />Remarks .....................l ��?'�!'.:�.4::.`.��:;: �.......... .. .... <br />- - ...................-----....._... <br />� <br />—,-._. �._ <br />................---.......... <br />Superintendent <br />�.. � -- . <br />LABOR AND MATERIAL 8fiI <br />Size , <br />................ I Lcad Connection Complete <br />................ Saddle Complete <br />................. ........................................................ <br />.............. S.rvice Cock <br />.................I Servicc Box <br />........................... ........................... ...... <br />..................................................... ...... <br />No. Hours Labor ..............................................Cast................................................... <br />Cutin ....................Pavemenl....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ „ <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />.............................................................................................................................. <br />• yr.:.:...._'._ .............:.'.......................:...: �....,,.... _.... ....... <br />T(I!`C RCCB1VCtj ....................................... . <br />�; m•1� Coml�leted.... . ........................A; � r't. �� <br />...... .............. <br />Foreman <br />