Laserfiche WebLink
_ � __-- ---- - <br /> w. o. roew a /� �OO • ' ~ '7_ S i,� i :f. <br /> CITY OF EVERETT--Water Dept. <br /> Application No.../...�::��0p.. Date.......::.'.�..:�............................19.[:f <br /> Install...............................inch water service pipe <br /> For ........................:......................................................................................... <br /> -, _.-. , ,. � <br /> On ...�.f,:._:..:.,::.:.�.L:i::�:..:......:?�:�=..;.c..o.��..:............................... Street <br /> Lot.............................................................. Block No................---................... <br /> Addition .......................................................................................................... <br /> Remarks ......................................................................................................... <br /> ............................................................................................................................. <br /> ...................... .............................................................................................._... <br /> 3 , <br /> ...�......��./.`.:............................................................................................. <br /> Superintendent <br /> 7/° — 7S <br /> LABOR AND MATEItIAL USED <br /> .....No. ............_S ize <br /> ._.._..., .......... Lead Connection Complete <br /> ..................._................................. Saddle Complete <br /> ......................St.. ........................................................................Pipe <br /> "........................ <br /> ..................................................... Scrvice Cock <br /> .................................... Service Box <br /> No. Haurs Labor..............................................Cost.................................................... <br /> Cutin....................Pavement......... .........X........................ ........................Sq.Ft. <br /> ....................X.......................... �� <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> ...................X........................ ........................ <br /> �� <br /> Total ........................Sq.Ft. <br /> , ---- � <br /> emarks............................................................................................................. <br /> ........................................ ................................................................................ <br /> ' Order Received....................................................... ..................................... <br /> \Vork Campleted.......................................................................... ................. <br /> Foreman <br />