Laserfiche WebLink
__ ,__ __._.. , <br /> ✓ , <br /> t. i PPI[P[ ]M IM161 � � - � L <br /> W. O. IORM ] <br /> � � � CI Y O�F EVERETT--Water Dept. " <br /> � <br /> Application No....,,�,J,,..�.�..I........� Date......r.�.�.._-..............-:................195r <br /> Install..../�:....................inch water scrvice pipe <br /> For ................................. .. <br /> q � �........'_ ' <br /> - <br /> - <br /> ....... . ....... <br /> On .........�.1...�:-1.....1.._�_�............s._...:................................... Street <br /> Lot..................._...........�T...�.�......_...._.._... Block No........_,l,`'„%5.............. <br /> Addition ................_ ........................... ........ . .. <br /> �/ � <br /> � Remarks �� �tc t c �r`� <br /> .................(.{.._......................_.�.........._.........._..................... <br /> ................................................. / .. <br /> � ceF����i,, � � SZ�Yrc_.. <br /> • . . _ <br /> ........................................_�.. ............./....-....:...................................................... <br /> ...........................................................`�'�.... � .. <br /> ��./_.�.........Q.._................... <br /> � L ...!"1..:.......................... <br /> ...................................................... ......Y... .....��..i.... . <br /> f,' , Superintendent <br /> � r : � <br /> � / ' %/ <br /> LABOR AND MATGftIAi. DSED <br /> No. Size I <br /> —i <br /> ................._,_,,,,,..........................�� Lcad Connection Complele <br /> ..._...J.......................r..j..............� Saddle Complet�- ;!,.�..... p <br /> ...........,�.._..St_.._..L.�i'....... ..................................._...���... Pi e <br /> .............._.................................... Service Cock !: ,. <br /> ................................. Scrvicc IIox � <br /> No. Hours L�bor..............................................Cost......._.._.........._.._....................... <br /> Cutin....................Pavement..............._...X......._......_....... ......._...............Sq.Ft. <br /> ...................X..._.........._. �� <br /> ...... . <br /> ....................X........................ �� <br /> ....................X........................ ........................ �. <br /> Totnl ........................Sq.Ft. <br /> �_ — <br /> Remarks....... .�...� :........... �................................................................... <br /> , .. r r. . <br /> ... <br /> ................... ...t.�.......�.:._:....:.1....................................................................... <br /> , __ � .- ., <br /> � <br /> c<....:.,1..:.�.-...,�....,�..._........... . .. . � ��............----.......... <br /> Order Feceived...� ....... ..C::r1.C.:f.:j................_ �. ... , <br /> . . . <br /> ......... <br /> � ��...................... �.'.,.._.. . , :. � <br /> \lior}: Completed...:.:.......:..:....................................................... ................. <br /> Foreman <br />