Laserfiche WebLink
/�'"'�/ � � i. ;��_ ; . - <br />w. b. IOHM <br />� " CITY OF EVERE�T--Water Dept. <br />. <br />Application No.%.:�...� �.l.... Date ................t�.............................19.�'.7 <br />� lnstall,.� ................. .,. .inch water service pipe <br />FOr .......t�.ccl..._...%....._�:1�...n..:a:it�� .........:........................................ <br />, - -/� � <br />On ...:...'.�......cr.l../<..��'..::.:r,�.:.:x.�..r:r.....�L .:.:.::..................... Street <br />Lot............................................................. Block N�.......-�-�---.................... <br />Adclition................................................................................................ <br />Remark; ........... ......................................................................................... <br />' , i �. t <br />.................. _.............._ _..C..l..:.:.:. ,..:: :,r fr._._�.�:�.:,:.......................... <br />��.,...C.o f� ......... ......................................................................................... <br />......................................... ................................................................................ <br />// = ,v Superintendent <br />LABOR AND MATERIAL U3ED <br />Site <br />.........................................._.........i Lend Conncrtion Complcle <br />..._ . ................_................ _..... . I Saddle Complete <br />_ .....................tt. ....................... ........ _........ _....................................................P:.pc <br />................._................__.............. Service Coek <br />...................................................... Scrvice Box <br />No. Hours Lsbor__........._ ............................_.Cost--._............................_................ <br />Culin ....................Pavemcnt...................X........................ ........................Sq. Ft. <br />...................:C........................ ,� <br />............... ........ <br />....................X........................ �� <br />........................ <br />..._........_.....X._ ..................... �� <br />........................ <br />1'otal ........................Sq. Ft. <br />........_ ................_................................................................... _._. ._.. ............. <br />OrderReceiaed .....................................................................__..................... <br />\Vork. Completed.._ ..............__.......__............................._........_............... <br />Fo�eman <br />