Laserfiche WebLink
W. D. Form 3 <br />CITY OF EVERETT—Water Dept. <br />Application No ... 6.75�,� J <br />Date- ........ ...... <br />inch wat <br />jnstall ........... %4-,4 ......Yservice pipe <br />1w For ....................�0k,—,j <br />On...................... XV-Pr- I..... .................. Street <br />Lot... ................................... ....................... Block No ..................................... <br />. I I - <br />No. , i— - <br />LABOR A' ) MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />........_...Pipe <br />No. hours Labor ............................................. Cost ............... ............... . ................... <br />Cutin....................Pavement.................... X ........................ ........................ Sq. Ft. <br />.................... X ............... . ....... ....... . .......... . ... <br />Y <br />............... X ........................ ........................ " <br />Total ........................ Sq. Ft. <br />Rernarks./79 ...... �4- ..................................................... <br />........................................................................... ...................................... - .......... <br />OrderReceived ......................................................... 4 ........ J ........................... <br />Work Cornplete&,.: .. .... ......................... .................. ............... <br />Foreman <br />