Laserfiche WebLink
- � /.. o. .o�� � /7 / � — �— � �� � , � <br />CITY OF EVERETT--V(Iater Dept. <br />Application No.. J�.�.�.�.. Date.....�"..�..`.'..�4..� ...:.............19...... <br />Install ...............................inrh water service pipe <br />For.................................................................................................................... <br />On ........�.L....>.........�n .»2rc:S:4:.*..�P� ................................. Street <br />T.,,e — - - - ................... Block No........_..._............--�--...... <br />Addition ......... <br />Remarks ......... <br />_ .........................................................................._�J ��...�G.t� .................. <br />.... ..................................... ........... ........ :%................ <br />......................................... <br />.. <br />Superintendeni, <br />�� i <br />�}!! t i n �1 / <br />LABOR AND MATERIAL USE �— <br />No. <br />:.ead Connection Complete <br />Szddle Complete <br />Servicc Cock <br />Service IIox <br />No. Aours Labor ..............................................Cost.................................................... <br />C�rt in..._ ...............Pavemenl...................X........................ ........................Sq. Ft. <br />....................X.............---........ �� <br />........................ <br />....................X........................ ,� <br />Total ........................Sq. Ft. <br />--- —�------ <br />Remarks....................................................................................... ................. <br />Order Received ............................................. <br />Nork Campleted .......................................... <br />............._........._.._.. / <br />........_..... _.. .! <br />Foreman <br />