Laserfiche WebLink
_ ./y�3�D - � ���.�y�✓✓ <br />w, o. ronM a <br />CITY OF EVERETT--Water Dept. <br />` L`� : / sc.1 ...is...-- <br />�tp�3icatien No./� ................... Date........ff,aR.�-.....�90�.............. <br />� lnstall ................:............. .inch water service pipe <br />i <br />�' i C..:.�::1 _C. l_,��.:5...r..:ti ../ ...../.......................................................... <br />On ) ..z...k..Z�.:c...:1:.(_:�<�d.:_?:.::: Street <br />or <br />, .................. <br />Lot.......�......!..........!. � ` ... � <br />-( <br />.............. <br />......................_`....... Block No..................................... <br />Addition ................................ <br />........................................................... ..... <br />Remarks .............. <br />.......... ................................................................................ <br />� <br />.......................... <br />... ......................................... <br />� <br />LABOR AND MATERiAL USEU <br />Leud Connection Complete <br />Saddle Complete <br />...._ __._ ......................._...................... <br />Scrvicc Cock <br />$ervice 33o't <br />................__............................. ...... .. <br />- --......._...... <br />........................................... ....... <br />No. Hours L� or ................... <br />_.... <br />Cul in ....................Pavei.ic�l._...... <br />Total <br />Superintendent <br />� <br />.................................... <br />........................59. Ft. <br />......._ ............... �� <br />....................... �� <br />........................ „ <br />.._...... Sq.FI. <br />='� --- <br />. ................................ <br />Re�n a rks ................. .................................................... .... . <br />....................... ....................... ...._.............. <br />.. .... <br />� ................................................ ..................... <br />Order Recci�•ed__ ................... <br />_ ......... .. ................................... . <br />_. <br />\Vork Compicted........_ ..................... Foreman <br />