Laserfiche WebLink
9. J. PR�[e[ ' � � � 6 �. ' �/L' ''. <br /> W. O. �ORM ] <br /> - CITY OF EVERETT--Water Dept. <br /> Application ATo............;..�.i_.�Date..........._DEC.u......i"�I...._ ....._19...... <br /> / i�stall.............................. .inch watcr service pipe <br /> For ......�.i`I:LZ:�.�_..._�YIC_c.::�c-�..........................__...... ..... <br /> � . .. <br /> On .............��t..:.5..............................._�.................................._ Street <br /> Lot.............................................................. filock No.........................._.......... <br /> �ddition <br /> ........ ................................................................................................. <br /> Rem:�rks ............................................................................. ............................ <br /> ..................................................................................... .................................. <br /> ...._........... ........ ..................................._......._................................._....... <br /> _................................._........................._......................_........... ....._._................ <br /> ........................................................................................ ......................... <br /> Superinlendent <br /> LABOR AND MATI RIAL USED <br /> No. ' Sizc <br /> ___._. <br /> —_— <br /> ......................................................I Lead Connection Completc <br /> ._........................................_......... S�ddlc Completc <br /> .._...................ft............................ ....._._....__........................... .................._....Pi Pc <br /> ......_.......... ......._....... Scrvicc Cock <br /> ._................................................... Service Box <br /> .._............... . ............................ .........................._..............._............................... . <br /> No. Fiou:s L�bor..............................................Co:t.................................................... <br /> Cutin........_........Pavement........._.........X........................ ........................Sq.Ft. <br /> �11[c,L<�/— �� 5/ .............._...x..........._........... „ <br /> ...................... <br /> � 9 x........................ .......... „ <br /> x........................ „ <br /> ............ <br /> Tolal ..... ..........__....Sq.Ft. <br /> — -------------- - - <br /> Remarks.......................................................__..._............................._............. <br /> . ' <br /> � . -: ce <br /> r,�.I..�/°...P........._9._s...........��........_ _.__.........._........ ................... <br /> ................. .......................................................................... ......... ........... <br /> OrderReccived........_............_............................................_............ ... ....... <br /> lVorkComplcted........_....................................._............_..__......._.. ...._.. ._ <br /> \ Fcrcinarl <br />