Laserfiche WebLink
.. -�334 7 _ .- ��� ;,��:� <br />W. O. �OIIM ] <br />CITY OF EVERETT--Water Dept. <br />/, _ ,� � ( . ; <br />Application N6...- :::._:..../.... _ Date... ...=:.:..:....� :......................1�.. <br />, _ , lnstall..._."..�.��.��.. .inch water service pipe <br />� ,. <br />C_l ., � . . - � <br />' ' ' '.:.5.�.� ................................................................ <br />_. <br />or ........ ...... . . ...........:......1.. <br />. • <br />_ <br />. - <br />. <br />—'/ - � - � , ; � Street <br />On, ,. �------- <br />Lot..................... <br />Addition ........ <br />Remarks ......., <br />. <br />.... Block No ..................................... <br />LABOR AND MATERIAL USED <br />Lcad Connection Complete <br />Saddle Complete <br />Box <br />� <br />No. Hours Labor ..............................................�os�............ <br />Cut in ....................Pavcment....................li........................ <br />�Z t2C/� ...�., �c .............._....7i...................... <br />------ _............1' ........................ <br />........................Sq. Ft. <br />..X ........................ ........................ �� <br />.................. Total <br />........................Sq. Ft. <br />--- _ <br />_ r . <br />Remarks...... ....:'..::�.r....... E.•.,.�'..L ................................................................ <br />-T 4 L....L.!J.:.�_.::x:.:Y.:..z :............................................... <br />�,,. <br />... ................................... <br />'r� 1.6ck. � .........................................................""........ <br />................."'............... �....... <br />OrderReceived.._ ......................................._.............,�,............................. f <br />\Vork Completed../..-..Y c.C..`.� ..............._.:�.�..._..�.d<;?n�:::.��...... � <br />Foreman <br />