Laserfiche WebLink
. . �32�� , ,. �: <br />. <br />w. o. ronrn a <br />CITY OF EVERETT--`JVater Dept. <br />--1 <br />�,, ��. k , �, ,� <br />Application No.�:I.`�.:.._ .%. �D�te..._<J....�........1_ ..................1�.�.- <br />Install......:.:'..` ..................inch water service pipe <br />For.................................................... ............:................................................. <br />f "-- - <br />/�-'�.'_iL� <,!� ! .._�f c . <br />On ..............::....l..`_...:......._.....�.L::-:;..':.'..;........._..:..............._. Street <br />Lot.............................................................. Block No..............-�--�---............... <br />r�r:�lition _.._..�_...� ..........................._.............................:........._............... <br />�f - �' -t/ �r�. �. <br />Remarks ......... c::1..s...t.S ..:..:..:........ ........ '•...:_s_.`f.._t <br />........ ............... <br />lf� Sr�-,<c �r��/,il�� //. <br />No. Size <br />... _ ............... _ <br />...................... <br />LABOR AND MATERIAL USED <br />Lcad Conneclion Complele <br />Saddlc Completc <br />Scrvice Cock <br />Scrvice Dox <br />Nn. Hours Labar ................_..._.......................Cost......................................._..._....... <br />Culin ................._.I'avemcnt......._...........X................._..... .._...........---....Sq. Ft. <br />_ ........ X ........................ .� <br />........ ........................ <br />..........X_ ...................... ., <br />......... . ....................... <br />._.........._.....X .................... _. „ <br />........................ <br />Total ........................Sq. Fl. <br />__ __ __________—___'__.__ <br />—____ <br />Remarks...'.::......_._.� ............................._....----...._. _.......................................... <br />_. ........ _ _ .................... _................. _...... <br />_ _ .............. _ _....... .:...........---.........._.... <br />Orde. Heceiced_ ._......_........__..... <br />\Vork Catnplcted ..__......_......_..... <br />................................. ......... . <br />.._... .__....._ .............. .... ... <br />Forc �n <br />