Laserfiche WebLink
.,. �. rni[oc � � O � ' e>� <br />w. U. fOFM p� . // � � . <br />i�ITY OF EVERETT--Water Dept. <br />, <br />, ,,, , <br />Application No...L.'.;.:.'._..:...... Date......,' :..................../..._/._........19... <br />7nsta17....,:: _.:� .:................inch water service pipe <br />For < : . <br />,- <br />.............................. ..... ---;......,...,................................................. <br />_ ,; <br />� � •, _ <br />On................'.:� :.-...:............:.:...: .. �::......::_...._.. ................................ Street <br />I�t .................................�..............--......... Block No......._!.::..........----•--...... <br />:!dclition .................._.............................._....................................................... <br />I?emarks ................. .................................................................................... <br />_.._ ......................- --............................._. .......................... <br />, , <br />n�,,:. . �, .. <br />_........... _ � ......................................... ........:.......:................ .:.......: <br />� � <br />� <br />LABOR AND MATERIAL USED <br />Size <br />--- <br />................. Lcad Connection Comp�ete <br />..............._ Saddle Completc <br />, <br />, .. <br />.. �.r ........... ..._.....:.:.�.1........................_..._......... <br />�.._.�,......... Service Cock <br />................. Ser�ice Box <br />No. Hours L�bor... <br />Cut in ....................P <br />....................X..........---........... <br />........................Sq. Ft. <br />........................ �� <br />............ ... �� <br />.............................................. ........................ <br />Total ........................Sq. Ft. <br />-- ------------ � <br />____ <br />i <br />P.emarks..........._.........._.......�:.:....r/,..:;........:.r. - <br />......_ .. _ ..................._......__.. <br />-. � <br />...................................... `--'..�:.::.:........t..r...:.:_:....:..a...:..:::::.:._............ <br />� <br />.. .. . ............................................:......:..:...1.:...<............................. _....---... _......... / <br />OrderReceived ............................................................................................... <br />�Vork Campleted._..........._ ...............___.._..._._:...'_...... .....__._:.....,......... <br />Foreman � <br />