Laserfiche WebLink
� _ �7//� _ �Y� _�,��-� <br />w. o. ro�H a <br />CITY OF EVERETT--Water Dept. <br />'/ - <br />Application rio..../.7./.L.Y.... Date ............ .�.......�:..1................19...... <br />Install ...............................incl� water service ripe <br />For.................................. . ......,........................... <br />./.. ........... <br />. ........................... . <br />On 2..� ...............���.ut.-L.�c.Le/ $�.CBL <br />..........Y"..'. . .................................................... <br />Lot.............................................................. Block No..................................... <br />^ddition .......................................................................................................... <br />Remarks................................................................................ <br />...............�- - <br />— � <br />LABOR AND MATERiAL II9ED <br />Lead Connection Complete <br />Saddlc Complete <br />......................... <br />Scrvice Cock <br />SerVice Bax <br />No. Aow�s Labor ..............................................Cost.................................................... <br />Cutin ....................Paven�enl....................X........................ ........................Sq.Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />--' <br />Re�narks ................................................_.......................................... -- - - -- <br />OrderRecei��ed ............................................................................................... <br />\Vork Completed ..............................................._......................................... <br />Foreman <br />