Laserfiche WebLink
- - �iy'9.�" - . - . �, <br /> w. o. .o�, � ;— s;��_, <br /> CITY OF EVERETT--Water Dept. <br /> ApplicationNo..�!�.:�`%4... Date.............:�..-l..............----......19_4.y', <br /> Install...............................inch water service pipe <br /> , .................................................................................. <br /> or ..............................._. <br /> , , � <br /> i° � , ,ii �5 <br /> On ......!z.'.:�.�.._1.��.�:.lcs.:..:.....4..::.._t:.a.:.-.L............................. Street <br /> Lot.............................................................. Block No..._..........----................... <br /> Addition .......................................................................................................... <br /> Remarks ...............................................................................................�--�---.... <br /> ............................................................................................................................. <br /> , <br /> ,.. <br /> .....�.........G.n.,r................................................................................... <br /> . .. •----�.....�...'�..........................................................•�---.................. <br /> ....... <br /> ...../.�....'"1...l........�.._�.................................................................................... <br /> Superintendent <br /> � <br /> LABOR AND MATERIAL II9ED <br /> No. S:ze <br /> ... ............................................ Lead Connection Complete <br /> ...................................................... Saddle ComPlete <br /> .......................tt........................... ........................................................................PiPe <br /> ..................................................... Scrvice Cock <br /> .......................... Service Boz <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.E't. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X................ �� <br /> ........ ........................ <br /> ...................X........................ ........................ �� <br /> Total ........................Sq.Ft. <br /> --- <br /> Remarks............................................................................................................. <br /> ........................................................................................................................ <br /> ............................................................................................................................. / <br /> OrderReceived........................................................................... ................... <br /> \Vork Completed..........................................._................ .......................... <br /> Foreman J <br /> � " . ':�'�:7:c '4 <br />