Laserfiche WebLink
C,l �%'� � <br />.►. . -• '� <br />`'Y �s�4 - _ . <br />a. i. vnrcuc � � • <br />W. l�'fOGM ::�1 . • <br />C1TY OF EVERETT--Water Dept. <br />_ t ; 1961 . . .19...... <br />Applicatien No...-.......�...:.. �.. Date..........�?E:� ............................. <br />i:. <br />_ Install. . :..........................inch water service pipe <br />� i' � �.. i <. (;.'..:.! :........................................ <br />For ..............c.:.:.., � <br />_ .....:.............. .... <br />;. ,. <br />; t r ..........................._...................................... Stree <br />� ,.......... <br />n ..................... .. <br />` _� - - ........... ...................... Block No..................................... <br />Addition ........................ <br />.............. _........ . <br />_.: r-� r� � --.._(:. � ., <br />Remarks •��- ' """' <br />.................... ...... <br />...... ............................................................. <br />............... . ................................................... <br />.... ........................'------ SuPerinlendent <br />... ..... ................................... ........... . ��, <br />i ,,-, <br />LABOR AND MATERIAL USED <br />No. Sizc � , � <br />� --- ' <br />�:.ead Connection Complete � , i � , <br />l +, <br />................................__......... lir' ._. <br />........................ <br />._ .................._...._ Saddlc Complete .� i..........Pipc <br />.......................tt............................ ............................................................. <br />, .,,... Servicc Cock <br />.............................................. .. Sercicc Box <br />...................... ....... <br />... _ .................. ............................................. <br />_ ................_.......� . _.---........._........ <br />..........._. <br />... --- <br />No. Hours Labor .......................................... ........................Sq. Ft. <br />Cut in ............._.....Yavement..........._........X........................ �� <br />........................ <br />..................... ........................ �� <br />........................ <br />....................X-....................... „ <br />......._ ......... .................... <br />. <br />. ....... ..... . � <br />Total.......................Sq. Ft. _ <br />. —�------- -- <br />-- ---__ <br />----_�----- — <br />... ...........................'./............................................................... <br />Remarks.._...'..... �. o r !/� '/ <br />, , . ........ <br />fi' _ i„„� . <br />......................... <br />........ ....... . ......................... <br />....................... , <br />OrderRecei�•ed ............................................................................................... � <br />__. <br />Foreman <br />\Vork Completed......_ .........................................._._..... <br />