Laserfiche WebLink
r • <br />4. J. PNI[BC � 3 � � � � / 5 {C / <br />• <br />w. [�. f09M <br />CITY OF EVERETT--Water Dept. <br />`' j �EC G t963 � <br />Application No.'.....�._�...:........ Date ................................................19...... <br />' j Ins� .........................irch water service pipe <br />For _�'L . �._�1.., .... �1% <br />O�� ................... 1.1�.�....��......_.........._..�.............................._..._.... Street <br />Lot............................................................. Block No..................................... <br />Addition._ .................................................._..........__..................................... <br />Rcma rks....... _. .. . ...�.. .. ., . .............................................................................. <br />. � _. <br />�` �� . � , I� .:::........................ <br />. . .............................. ........ <br />...........�..1..- �.-...t..:..-_r�..� ........................................................... .......... <br />LABOR AND MATEftIAI. USsD <br />No_ Size I <br />_. __ ..__�_—_i —__ —__— <br />. ..........................................._.._ Lead Connection Complete <br />....._ ................._................._......._I Snddle Complete <br />_._ ..................tt. _.................. ...... ....._......._.... .......................___. <br />,..._ ..................._ _.........__._...._... Scrvice Cock <br />._..---�---� ............ .. ................._.... Setvice Box <br />Superintendent <br />Pipc <br />No. How�s Labor......._........._ ..........................Cost..................................._......_....... <br />Cutin ....................Pavement..................._X........................ ........................Sq.Ft. <br />>�2�� «�� �--��y . . .. __ . .. ,. <br />, , , ...... <br />... X .... ,. <br />. <br />.. . ... . a „ <br />...... . .... . <br />^'otal .........._........_..Sq. Ft. <br />---- <br />------ ----^ ---------- --- <br />" ' � - riu - <br />Remarks.._ r. �:. � ..............'........ .... �'. .... '........�'U�.��............................. <br />Order:iecciecd .........................................._................................................. / <br />\Vork Camplcied ................................._.__._... _........... . <br />.... <br />Foreman <br />