Laserfiche WebLink
� - e�o�.� - � <br />w. o. roww � �� ' S��• � <br />:;ITY OF EVERETT--Water D��pt. <br />Application No...�.�.�..�.�.'I� � .... ` �^ ............19...... <br />__... Date......_. ..- �............'�. <br />Install ........................._....inch w>.tcr service pipe <br />For....................................l.�......................................................................... <br />On ......_....�:..�._�.�._.....'�c:`".:L:._�.�.t.:��� ........................... Street <br />Lat.............................................................. Block No...................................-- <br />Adclition........................................................................................................ <br />Remarks.......................................................................................................... <br />c <br />No. <br />LABOR AND MATERIAL USED <br />Lcad Connection Complete <br />Saddle Complete <br />......................................._............I 5crvice Cock <br />_......._ ................_...............,.........I Scr�ice 6ox <br />......... . � ..........................I .. <br />No. Hours Labor ..............................................Cost.................................................... <br />Culin ....................Favement....................X........................ ........................Sq. Ft. <br />....................:C........................ ........................ �� <br />....................X....................... �� <br />. ........................ <br />....................X........................ „ <br />........................ <br />Total ........................Sy. Ft. <br />— ---- ----- <br />--- -- <br />Re�n arks ............................................................................................................. <br />................................................................................. ................................. <br />.......................................................................................................................... <br />OrderRecei�•ed ................................................................. .......... <br />\Vork Campleted ....................................................................... ................. <br />FoSeman <br />