5828 OAKES AVE 2016-01-01 MF Import

/3337 � '- 9. J. PRI[B[ ]M �� 1 � � W. O. fONM ] CIT'Y OF, EV�RETT--Water Dept. . 1 u e � ''� � Applica:ion No............_.......... Date.......l;y,'�w-%.t,�._'� ................19...�� lnstall ....................._�:.,�. Sncl� water service pipe For ................................................._............... �^/............................................ Gn ...�_.��...��1...._.j��c.L.��]:�.�....��:��:J. ................. Street Lo' ............................................................. Block No..... - ........................... :1d .itiun ................._....._............----............................................................... Rer:iarks ................................_.................._.................................................... No. ... ............................. ......................... .......... .... ......... ............ .......... ..............................................................---- Superintendent LABOR AND MATERIAL USED .........._ ............._I :.ead Conncetion Complete _ ......................... Saddlc Complete ........................... ........................................................................Pipc .......................... Servicc Cock .......................... Ser�ice Box No. Hours I.abo� ..............................................Cost.................................................... Cutin_ .................P�vemenL...................X........................ ........................Sq. Ft. ....................X........................ �� ....... _ ............... ....................X.................. ..... ,� ........................ ....................7i........................ �, ........................ ' Total ........._.._... Sq. Ft. . : _-- --- --- --- — Re�n a rks ................................................................................................... Order R� cei�•�d . ............... \Vork Completed........_....