3319 W MUKILTEO BLVD 2016-01-01 MF Import

I 380 3 y�Eo 9. J. PPICP[ M. O. fOMM ] CITY OF EVERETT--Water Dept. i ,� �; �, � cEc �; i��:;i Application No ..........:...:......... Date.................. ...........................19...... Install .........../....�...........� .inch watcr service pipe For � .. .... � .`� <C•C.....Lr/--<..��.C.%2�-yfil-�.....Strec On....�... � . . ......................................................................... T.�t -- - .............................. Block No..................................... A�idition ..............._........... Remarks ...._ ....................... LtABOR AND MATERIAL USED I � I Lcad .:onnection Complete �� Snddlc Compicte ................................................... Servicc Co:k Servicc Box Superintendent ........................................................... No. Auurs L�bor ..............................................�us�..........................................._....... Cutin ....................Pavement_._...............X........._............. ........................59. Fl. ....................X........................ �� ........................ �[� � /— 9� 7 „ ...................�........................ ........................ „ ....x ........................ ........................ Total ........................59. Fl. ----------' Remar s ........................................................................... .................................. ..................... .............................. .................................................................................................................... .... Orderkeceieed_ ..........................................._........_............................. ... \Vork Completed ........................_...... .... _............_._..._._....................... Fon:man