Laserfiche WebLink
w. n. rosw a ����� • " i ,' '—�a/ � � � <br />CITY i�F EVERETT--Water Dept. <br />Application No.���:�.l.i.... Date......:..:J..:.- ...::...........................19L:'t' <br />Install ...............................inch water service pipe <br />For................................./�............................. � .................... <br />� r ...................... . <br />� �, � , . <br />... . . <br />........ ........-�....: �:.:..:..:.: .. <br />. ..«_... .....:. _�. : <br />n r,.. �tc. . � a <br />...................... Street <br />;.ut ......... ................................................... Block No................ <br />.................... <br />:1!idition ......................................................................................................... <br />Remarks ..........___ <br />Superinlendent <br />LABOR ARD MATERIAL USED <br />.�-.._....._.� Lead Connection Complete <br />............... <br />� Saddle Complcic <br />.............. ........_......................._.............. _. <br />����..... Scrvicc Cock <br />•���.��....... Scrvice Box <br />..........................i .............. <br />No. Hours Labor ..............................................Cost.................................................... <br />Culin..._.........._...Pavement ....................X........................ ......................_Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................X�........................ �� <br />........................ <br />....................X....................... �� <br />........................ <br />Total ........................Sq. Ft. <br />- ---------- <br />---- <br />emarks .............................................................................. <br />...... - <br />Order Received... <br />\Vork Complcted <br />� <br />_ ......................... _ _...... ......... ....... _...... .. <br />Forem�n <br />