Laserfiche WebLink
_. � <br />" 1. PriebH}� ' . 9 _-' • • <br />W.'O. Fuem J � <br />�ITY O�EVERETT--�Xlater Dept. <br />Application <br />_ � <br />� :.................inch �•iater service Fipe <br />For ..... '.:.� �.....LS.r.':r: r..'�.r.'_':z�-'`"• ..................................................... <br />... <br />On ... .....................1.� :3.,�... :..... .;�f?: � _!t.:.°_.'4.................... Street <br />, <br />Lot..........._i �.�.-..� �.--� ....................... Block No........_�..�.�.. s.-�........ <br />Addition............. ... ................./..... .. .. ............................................... <br />Remarks .........,..r..�..�.�:�fi..�:�'?�1....--�.-._...�-.a......_� � ................... <br />LABOR AND MATERIAL IIS6D <br />No. I Size ; _ _ <br />............... Lead Cc^r.=�ticr Complete <br />a.�.��..... Saddle Com�ete <br />x� <br />.:.......... ...... .r^..:�..... _ e.:t:r.....................................Pipe <br />/ .............. Service Co k <br />.............. Service Hox y <br />a �/'y, ,j�-� <br />............... . �:�../............ :::C:s:.cr.c.C..LS�.:�l:.......................... <br />3 � .. ... . � 4�......�'....�.:r... ... .c:.�:^.':t.a._�:.... <br />.� v ......... .............. �_.._...................._�_....._..................._............_........ <br />'� _ �,,,� <br />No. Hours Labor ............................... ./:I,...Cost.. ��.�_..................................... <br />Cutin ....................Pavemenl. . ...............X..........._........... ........................Sc. Ft. <br />....................X........................ ........................ �� <br />�� Ciµ.. a. � � ....................X........................ ........................ u <br />%1 T � u <br />- ' � ....................x........................ ........................ <br />`�I'� � � ........................Sq. Ft. <br />Total � <br />Remarks................................... ................................................................ ........ <br />................................................ _ _ <br />OrderReceived .............................................................................................. / <br />\tiark Completed.......`%._..:.4. �i.!; :.' .........................._ir.2:::...St�::�_'::._� / <br />% Foreman [ <br />