Laserfiche WebLink
joodf <br />CITY OF EVERETT--Water Dept. <br />Application Nofn�ff. .. Date.......:...........' ...._.._.....19 a <br />Install..... ................inch water service pipe <br />For........... ........ ....... ....................... _..J........................... _........ _.... _..... <br />_ <br />On..............:.2��.1.._........... t4......—'..................... .7y- Street <br />............ Block No ......... ...a_.._.._.._. <br />Addition................... '}............................. ..... <br />Remarks .................. 1...1...f.:d 1 C .Gs..::T :.:.. _.._......_................._.. <br />No. <br />Size <br />............. ... _........ <br />.......................... <br />_ <br />Lead Connection Complete <br />......._...._................................ <br />.......... <br />:.......... <br />i <br />Saddle Complete <br />..t.�6..:.: �_'__...... .... ........................... .._... Pipe <br />� <br />...... ....... _...._.!.. <br />....... i.lc.......... . <br />Servi Cock <br />...... _.._..___ ....... <br />................. ....... <br />Service Box <br />No. Hours Labor.............................................. Cost. ........... .................................. <br />Cutin .................... Pavement ............... .... X ............... ........................Sq. Ft. <br />................... X... ................. •� <br />....... _........... ........................ •• <br />........................ <br />Total ........................Sq. Ft. <br />............................................... ...... ! ,...::.......:..:.......:...:.-.,........... - <br />