Laserfiche WebLink
'S�! i�'- �� �.; ,-�� � <br />W D• IONM,] / • <br />CITY OF EVER�TT--Water Dept. <br />Application No.��.::%'.l...�: Date...........��_.:....1 .......................19_l..% <br />I. stall.......,_.. inch water service pipe <br />. .. <br />�.... .l.y <br />' ,-. - .,�i <br />Far .......... ..:.......1 ::.............._�:�.::--,.� : <br />� .;�. ,:, ; � rr ..: ...:.......................................... <br />On .............:�:: e .....1[.., .:' '.:.:.: . � , -, � ......................... Street <br />........ ....:...-_............. <br />�;--� .,� <�,-�r <br />Lot...................................... ...................... Block No..................................... <br />Addition...................................................................................... <br />.................... <br />remarks .............................. . . .. . . . <br />....... �./.. ... .. . .- -- .................. <br />�y--�.. � ................. <br />...............................................�_�._.:.:: :,..ci:..+r.� :.;:...................................-•--- <br />Superintendent <br />LABOR ArD MATERIAL USED <br />:.ead Connection Complete <br />Saddi[ �'v,rplete <br />..................................................... Screice Cock <br />...................................................... Scr�ice Hox <br />No. Aow�s L�bor ........................ ....................Cast.................................................... <br />Cutin ............._.....Pavement...__............X........................ ........................Sq.Ft. <br />....................7i........................ �� <br />......._ ............... <br />....................X........................ �� <br />........ ............. <br />....................X........................ �� <br />........................ <br />Total ... ...............Sq. Ft. <br />—_ - ----------- <br />-- — = <br />Remarks.......................................................... - .......................... _. - _ <br />................ ............................................................................................. .... <br />OrderReceiced ................................................................. ................ ........ <br />\Vm�k Completed ............................................................... .................... ... <br />Foreman <br />