Laserfiche WebLink
w. o. ru�w a <br />��./ �(y ��k'- :3i.3-lA <br />' � CITY OF EVE�ETi --Water Dept. <br />Application No.....� 1 7G.... Date ..........................�. <br />/ 3.:-...!.......�s.G�..Y <br />Install ...............................inch water service pipe <br />For................................................................_,............................................... <br />0 _ .3 5 ....... %i;.s-r—�1: �� <br />�r�c1 . <br />On.....7.... ..... .....� ............... �:.........-.�.......................... Street <br />Lot............................................................. Block No..................................... <br />Addition......... - ..... - ................................................... �- -- <br />Remarks....... ............................................................................................... <br />..................... �[l ...�-.............. ..............................................: <br />......-�-�-�----...... <br />........ ................................ ............... ................... ......�--...................--�-�- �---...... <br />........................................................ .................:...............,..........._ . <br />.._... <br />; - <br />............ ..........................._...............................: :..... ......fi::.......� ::�.-;J_ <br />Su� Snte ent �/ <br />LABOR AND MATERIAL USED <br />No. I Size <br />..._ ......................�...........................I Lead Connection ComPlete <br />...........................I..........................., Saddle ComPlete <br />.......................ft. ........................... ........................................................................Pipc <br />......................................._............. Servicc Cock <br />...................................................... Scrvice Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................7i........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />.................... ... <br />....................X........................ �� <br />........................ <br />Total ................--.....Sq. Ft. <br />--- ----- � ___ <br />Remarks ............................................................................................................. <br />OrderRecei��ed ................................................................ <br />\Vork Completed ............................................................. <br />