Laserfiche WebLink
D. ro.14 . 4�3 <br />CITY OF <br />EVERETT--Water Dept. <br />Application Nol., -..,Y Date.......... E.:............................19._l" <br />1 stall ...................... r ...... . inch water service pipe <br />For....... .......... ..................................... <br />On......... ........ Z/ ........... ................... street <br />Addition <br />Remarks <br />BlockNo ................ . ................... <br />........... ............................................................. ..... . ..... .. ........ <br />Superintendent <br />LABOR AND MATERIAL USED <br />Lcad Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor .............................................. .vs................_......_.._.._................... <br />Cutin ....................Pavement.................... X....................... ....... . ... ........... Sq. Ft. <br />....... X ........... ............ ........ ...... . ....... 1. <br />M <br />.......... ......... X .............. ......... <br />Total W ........ ..... _Sq. Ft. <br />Remarks........... . .... . ....... — ........ a ..................... ... W .......... ..... ww­ .... * ..... <br />................................. <br />OrderReceived ............... .............................................. ......... <br />WorkCompleted .............................................................................. <br />Foreman <br />