Laserfiche WebLink
5.1 PriaM�H7.�� 76 � • � .. • . <br /> W.U.Form! <br /> CITY OF EVERETT--Water Dept. <br /> Application No..I...�.�I.lo..✓.�.... D�te...�-........:2�..-.................19�.,�..0 <br /> _� Install... ��.....f......�. .....inch water service pipe <br /> `4/'�;r;n:;l�...... _:F!J'??J.'F.J..{..5��...... ......................... .......... <br /> For ..�..... - <br /> On ...........................s..�...✓�.....J.�.......�:��.......��..•Street <br /> fj —i <br /> Lot...........,�L�::�.. �........... ,.�Blopk No......-b•--�...... .......... <br /> �,f r ri.. <br /> Addition ...t!��'l...�..,......b....._C�.....::,�:.ff.�........................._................... <br /> Remarks .......... ../.J..l-5.��.�..:....:%ir-,a:Z.:>.c...........-----......---.................. <br /> ............................................................................................................................ <br /> ;2.... . . ............................................................... <br /> .... - fl /�_.........L.............._ . <br /> � � �! ..��:r..................... <br /> �1.......�.. . ... .. . .. .._,............................. <br /> . <br /> �G�;. ...���..�:'�-2-..................... <br /> .....�................................ . SuPerintendent <br /> LABOR AND MATERI � D <br /> No. Size �____ ' <br /> —'--- <br /> ,._._.__.,._...... i Lead Connection Comp te <br /> ........................... <br /> ...................................................... <br /> Saddle Complctc <br /> St............................ .......................................................................PiPe <br /> ...................... � <br /> ........................... <br /> .......................... Servicc Cock <br /> ............................ <br /> .......................... Scrvicc Box <br /> No. Hours LnUor..............................................Cost................................................... <br /> Cutin._..............._Pavement..._...............X........................ ........................Sq.Ft. <br /> ....................X........................ ........................ <br /> �� <br /> ....................Y........................ ........................ �, <br /> ....................X........................ ........................ �� <br /> Total ........................Sq.Ft. � <br /> ------------- <br /> I, ........... ........................ <br /> -�ei•:isr-s......................................................................... <br /> _.............._._......_.._................................................_........................................ <br /> OrderRecei��ed.__......................................................................................... <br /> 1\'or}: Comp'.eted................................................................. .......................... <br /> Foreman <br />