Laserfiche WebLink
�3 � i��-,� � � <br />w.� o. ro� � <br />. _ CITY OF EVE�ETT--Water Dept. <br />/_.�„ / <br />Application No../....::..7�? i.� Date.........._.._<<......� .................._19..4.'. � <br />%� � InstalL ........................r.. .inch water service pipe <br />-. i: � � <br />For �.rli-l-'��.1 .....C.�v....._�::::i:::i..e4� ................................................ <br />On .......�......a..,..h�;...�.:..:.G•...�%.�..:4�;.,::.....i�..�.��::f ............._.... Street <br />L�t .............................................................. Block Nd�.................................. <br />A!iciition .......................................................................................................... <br />Remarks.............................../..._...................._.... - . . - <br />..........._....... <br />. ........................_ `..�::L.(.:!.:-:':.(.,.C:_�G_F_.............._................ <br />.... ......................................................................................................................... <br />......................... .. _....._____.______ _.______..___. .. .. <br />�j�' ,.- . <br />: �:�f-. <br />.......... ....�........ ............. ................................................................................ <br />f� _ _ Superirtendent <br />F �. <br />LAAOR AND MATERIAL USED <br />................................................. ....i Lead Connection Complete <br />................................................._� Saddle Complete <br />......................ft....._..............._.._ I .._._.__...._................................_. <br />........................... ... .............� Scrvice Cock <br />__..-�---� ..................._...........,_....... Setvice Box <br />No. Hours I.sbor ..............._............................Cosl.................................................... <br />Cutin ...................Pavement_..................X....................... ........._.............Sq. Ft. <br />_ . .............X........................ .� <br />... . ........................ <br />....................X........................ �� <br />........... ............. <br />Total ...._ ..................Sq. Fl. <br />_—'-- ------------ <br />Rc� n a r ks ............................................................................................................. <br />_ . .. _....... _ ............................... _................... _.......................... --.......................... <br />.................................................................................... ........................... .......... <br />OrderR•zcciced .............................................................. ....................... .... <br />\Vork Crmpleted._ ................... .........._......._.._... _...._..........._................ <br />Foreman <br />! <br />