Laserfiche WebLink
7. <br />9. d PRIEOE .yM <br />W. O. IORM <br />CITY C . EVERETT--Water Dept. <br />a .T <br />Application No.� ...t._�..] ,.... Date. ......... ..................� .--•-----19......� <br />Install............ ' .................inch water service pipe <br />For................•--........................................ ............. <br />......� � ��............................ ... Street <br />on.................71-7.....- --- --------..._.._.._... <br />Lot............................... _............. ....... ...... Block No ........ _...... _......... _....... <br />Addition <br />remarks <br />t <br />t..�j� <br />...................... _....... ---- - ...... <br />f.................... <br />j 1 ..............7.,C.......... <br />r�.: <br />....----...... .................. ......... ...I............ <br />% <br />sur...------......_... <br />,erintendent <br />LABOR AND MATERIAL USED <br />No. <br />Size <br />......... _.._... ................................... <br />Lead Connection Complote <br />..._.......... <br />........................... <br />Saddle Complete <br />............ <br />............... St.......zy.._._t......... <br />...... L::::'.,c,__..:.._,.....................................Pipe <br />........... ........... {......... <br />........ <br />Service Cock <br />........................1.............................. <br />Service Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cut in ................. ...Favenicnt.......... .......... X....... _...... ........ ............... ........ Sq. Ft. <br />.................... --- -------- .. <br />.................... X............... ........ R <br />Total ........................Sq. Ft. <br />R..mcr'.is .............................. ... .iarY:... :7. :.................. ,......... ..,.... <br />......................................... <br />Orderreceived ........... ...................... ....................... ....'�..,............. <br />WorkCompleted. � z:.... �f....1t�..........__: ..:.a.:?:+ sea-......... <br />Foreman <br />