Laserfiche WebLink
P. d. P91"K14 8 O <br />W. U. IOFM <br />CITY OF EVERETT--Water <br />Dept. <br />Application No ....................... <br />pate..... <br />...... <br />/.......... 19..._. <br />Install......_R'� <br />J `t.:? <br />�.... <br />ch water service pipe <br />For ............./!..t :'.::'..::.:... <br />_...),I................................... <br />................... <br />Street <br />T.nt -----------------------.._.._--- <br />Block No.. ...... ... <br />........... _._....._ <br />Addition................ ....................................................................................... <br />Remarks ..................._......_................................................................. <br />..._ <br />..................... <br />...... ..... <br />i:?:4?sAG..00..�.u._. �....2 .g ._... <br />........... .................... .........._.._.. <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />........_....... ...............Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor. .................. . .. . .. . .. . ............. UQ9L .............. . ................................... <br />Cutin-. ... ... .......... Pavement ...... . .......... X .......... ... ....... ................. ....Sq. Ft. <br />.... X....... _.. _.. _.. _... .. <br />. .. <br />.................... X........................ .. <br />....................... <br />Total ........................Sq. F.. <br />. <br />Remarks... ©4V....._.... ........:.... y � af.:...:............................................. _ . <br />................................................._ _....................... <br />Order Received ................... <br />\6 rrk Completed... ....... .............. <br />...... rorernin <br />j <br />