520 ROSE WAY 2016-01-01 MF Import

- - /707� -- - � 7 - �' �`' w. o. ronr+ s CITY OI� EVERETT--Water Dept. � 3 -i -�1/ Anplication No..�L.�:..7:2... Date ........::..................7..................19...... Irstall ...............................inch water service pipe For..................................�.................................... y, .1r �i_rae,:...�.�:!'. '" On............................................. . . _. .............. ock Addilion ............................. Rcmarks ............................. .............................. � Street .................................... ............................ ....... ...................................................................------ g�perinlendent ............... . LABOR AND MATERIAL USED No. ................. :.cad Conneclion Complele Saddle Complete ................................................... Scrvice Cock Scrvice Box ................................................... .............................. .................... (r ........_... . Cost .................................................... No. Hom•s Laboc_ ..................-..................... ........................Sq. Ft. Cut in............_......Pavement ....................X........................ �� ....................X........................ ......._............... ....................X........................ ........................ �. ....................X........................ ........................ „ Tntal ........................Sq. Ft. — �_-- __ —. --- Re ma rks ................... .................................................. ....................................... ....... ........................................................................... ............................................ ....................................... Order Receiced ......................................................... ................ ... ........ ..........-�Forema \Vork Completed .........................................._.................