Laserfiche WebLink
CITY OF EVERETT--Water Dept. <br />Application No/:�/ ... 3D�te.... .`�=..... __�� .............19':.:' <br />_.....`.�............ .iach water service pipe <br />For(di2t.C.....Y_:-5.:/'tiG::?t..�....aJ_4 . .................... <br />On ........ .._ . Y a ].- ........../.. L 1r� S_F �.t-� Street <br />................ _ ........... <br />Lot................... ....... ........................... Block No ........ .... _._................ <br />Addition...........................................................� <br />Remarks ......._.. <br />— ifol' 3 z� 6 <br />Superintendent <br />''•+— LABOR AND MATERIAL. USED <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />... .... ... ...................._.�........................... ....... ... ......... _............. ._. <br />..........................._..................... ... _.......... <br />. <br />No. HoursLabor.... .......... _....... ... .......... ... _. Cost. ..... _....... ...... ... _.............. ........ <br />Cut in ............... ..... Pavement............... X.._.._.._.--------- ....................Sq. Ft. <br />.......... X.......... <br />._._... .. <br />....................X.._.._.._.._....... ..... I. ........ I....... <br />.................... X............... _....... ........................ " <br />Total ........................Sq. Ft. <br />Order Received ............._. .�_........._..»1... 5. ............................ ; ,_:........... i <br />.............................................. ...... .....A1._..... _....... <br />Work Completed..-_*"/_.�.,r................._......................................... / <br />� Foreman <br />