Laserfiche WebLink
�s'3 7g ��1,,�- <br />w.o.r ra ` <br />lCITY OF EVERETT--Water Dept. <br />Application A`o.... �..�:..:.�....'.'.1� Date...........'.�,... � ......................._19_`". =—'� <br />I�stall ...... :......................inch water service pipe <br />. �/ ` <br />For ._..��:..�...r.:y,:c.f.......�c...�::z�.:.�.:...:......c...' ................................. <br />, � ` <br />On ........,1�%/..��r........� �:c:[.:.e1c.:........:.t1.1.._,[lv:.c.�.:'r*-1,L� Street <br />' / <br />l.ot .............................................................. Block No....................:................ <br />:�dilition .......................................................................................................... <br />Remarks ................................../:.... ....................... .. .. <br />. � .................. . ....... . ...... <br />_ .............................................. j�.�.L:; ;r::::.�t...l::s.�:z.:.:............................... <br />..... .... .................. . ....................................................................................... <br />Yo. <br />........................................ ..... .......................................................................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />Size I <br />---- <br />._ .............._I Lend Connection Complcle <br />.........._........ Saddle Complde <br />Scrvicc Ccc:: <br />Servicc Box <br />Fipc <br />No. Iiours [.:ibor .............................................(;ost......................---........................... <br />Ci:t in......._...........Pavemenl ....................X..................._... ......................_Sq.Ft. <br />....................X........................ „ <br />........... ............ <br />....................}:........................ �� <br />........................ <br />....................X........................ ., <br />........................ <br />T�tal ........................54. Ft. <br />-----'------ <br />Re�na rks ............................................................................................................. <br />_... ...................... -- <br />Order??eceived__ ............................._................................................... ..... <br />lVorkComplcted ................................... _......._.__ __ __........_.._........ . <br />6'oreman <br />