Laserfiche WebLink
W�D Por�mIM7.1619g5 v <br />o J <br />CI � EVERETT--Water Dept. <br />, <br />Application No......::n.�.�..� <br />For <br />On .. <br />'u.......:.--/..:� :............�nch water service pipe <br />� . . ,� , ./ <br />� i- r.� - � <br />• -_ ............................:.:r................. acreec <br />_ � , <br />Lot.............................................................. Block No........................... <br />.......... <br />dition ..............::..:i................................................................................... <br />'; � � . <br />..:, ,,, , , . , <br />Remarks ...........................::. ' - � <br />..................................... • <br />, �- _ <br />...........:.........._......:.M._ _— <br />.....y�if::;:..,.:.-----.- i. �� : r l � - � . � <br />/ <br />LABOB�AND MAT6RIAL IISF,D <br />Lcad Connection .:omplete <br />Saddle Complete <br />Service Cock <br />Servire Sox <br />No. Hours Labor ........................... <br />Cut in ....................Pavement........ <br />i. .,.s..__ <br />, <br />...........Pipe <br />.X ................. ...... ........................Sq. Ft. <br />.X ........................ ,� <br />........................ <br />.X ........................ �� <br />........................ <br />� , ....................X........................ ,. <br />........................ <br />�' "� .�` � � Total <br />---- ........................Sq. Ft. <br />--- <br />'t:-� � , ; — <br />Remarks�, � •'j A. , -- <br />....... . <br />. . . ......................... ......................... <br />..................................... ........................................................................ .......... <br />Order Received_ ................. , <br />............................................_. . . <br />, . , � . ._.. ::::......... ..... <br />\Vork Completed ..:...........�.,-...__ _. _:..:.........'".._�ty..i�l.:..:..;..:.._... <br />Foreman <br />