Laserfiche WebLink
9: J. PNI[B[� ��� � • /� � / � ✓ <br />M'. U. IOPM�d � <br />CITY nF EVERETT--Water Dept. <br />�C -�-(',/-,• � <� a d G, 1 19n 1 <br />A.pplicaL�ea-No.�.....��..�.:.. Date ...............................................19...... <br />I. stall ...............................inch water service pipe <br />� , / <br />For �...�.c......... � :i..t..:�.:�_�'..:r...2..:l� ............................................. <br />On ...1`T.t:..�.........,.��c.:�t.:t..i.:.:l,.(.<<::r.:x'�� .............. Street <br />.�, . / <br />Lot.�:.2�0..........[.3e.h..k.r�.sr... Block No ..................................... <br />Adciition ..................................... <br />.................................................................... <br />Remarks.......................................................................................................... <br />No. i Size <br />LABOB Al\D MATERIAL USED <br />:.cad Connection Complete <br />Saddlc Completc <br />Servicc Cock <br />Ser�ice Box <br />Superintendent <br />No. Hours Labor ..............................................Cost.................................................... <br />Cut in ....................Favement....................Y......................... <br />........................Sq. Ft. <br />....................X................... ... �, <br />....... _ ............... <br />....................X........................ ,� <br />........................ <br />....................Y........................ ,� <br />........................ <br />..ntal ................._.....Sq. Fl. <br />----" ------' <br />--- <br />Remarks................................................................................ -- - -.... <br />....................................................................... <br />Order Recciced ......................................... <br />\Vork. Com;ileted ...................................... <br />._ ................ ..Foreman � / <br />