Laserfiche WebLink
; <br /> w, q. r0on�S �I � � ,� v, _ ���,�� <br /> CITY OF EVERETT--Water Dept. <br /> Applicr,:ion No.�-�.....%�..:t � ' ' ( ' <br /> . Date........r.<....................................19..�: �( <br /> ,t ; Inst 11..............................inch water service pipe <br /> - =-' -'- <br /> FoP ......✓..��Li.:.c�.. 'r.......�i.c_�.l.t:�r...................................................... <br /> 7 n + <br /> On .........:.�../...::../...............�..i.:r::z.c.:r.::�=r::............................. Street <br /> Lot.............................................................. Block 1Vo..........................._.._..... <br /> .9d�lition ................................�........_........................................................._..... <br /> iJ , <br /> Remarks ..................... �..;L::a:<:z:f.-,�l.�t..�.<..zs•=--...............--�--••-- <br /> ..... <br /> , ---... <br /> .............................................................................................................••-------..... <br /> ............................................................................................................_....__....... <br /> ................................................................................................ ........................... <br /> ............................................................................................................�--•----..... <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. ' Sizr � <br /> -- —_r— <br /> ................._.............................._. .� Lead Conn�ction Comp7ete <br /> ... ...............................................� Snddlc Complete <br /> .......................f t............................ .......................................................................Pipe <br /> ............_........................................ Service Cock <br /> ...................................................... Service Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cut in....................Favemenl................ X........................ <br /> .... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> Total ........................Sq.Ft. <br /> -- ' ---------------�— --- <br /> Remarks.................._.........................__ ..._.._...................................... • ....... <br /> ....._............................................... ............ .__ ..._....... ..._...................... <br /> ........................................................................................................................ <br /> OrderRecei��ed...................................................................................... <br /> ...... <br /> lVorkCompleted......................................................................................... . <br /> Foreman <br />