Laserfiche WebLink
� - - /�G'�D � � <br /> w. o. .onw a - / �, /. <br /> ' _�! S <br /> CITY OF EVERETT--�YJater Dept. <br /> Application No._l(-.�f.,�f?. Date......:..^.....1. C.. .� <br /> .. ..........................19... <br /> Install.............................. .inch water service pipe <br /> For ....................................................... <br /> ' �_ �.................................................. .. <br /> , . ... <br /> On .........�.`r1...:......._:��c:.::._.:i�t`P.C�........._...................... Street <br /> � , <br /> Lot....................................:......................... Block No..................................... <br /> .'ldilition .......................................................................................................... <br /> Remarks .......................................................................................................... <br /> ......... ............................................................................................................ <br /> ...�%...:../........... <br /> _ _ ............................................ <br /> ....................................................................................................................... <br /> ..................................................................................................................... <br /> Superintendent <br /> WbJR AND TiATERIAL USED <br /> ___No. Sizc � — <br /> i_.—_ _ <br /> ......................................................i Lrad Cnnnection Complete <br /> .....................................................t Snddlc Complctc . <br /> .......................ft............................1 . ......................PiPc <br /> ................................................. <br /> ...................... ................... Service Cock <br /> ....._..............................................� Scr�icc IIox <br /> ..................................................._f ............................................................._................... <br /> .... <br /> ?Io. Hours Labor.................._........................_Cost.............................................._... <br /> Cut in..........__._...Pavement....................X........................ <br /> ........................Sq.Ft. <br /> ...................X <br /> ........................ ........................ �� <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> __ Total ........................Sq.Ft. <br /> ---— <br /> Retnarks..................................................................................... <br /> ...................... <br /> ._.............. ...............................................�...................................... <br /> ................................................... ......................................................................... <br /> OrderReceived.......................................................................................... <br /> \Vork Complcted...................................__..__ ._! <br /> _..__.....__......_....... _ . <br /> Forem:m <br />