|
W�UForm]��9Z�s/'� 1 . ..
<br />C�TY DF EVERETT--'X1as:er Dept.
<br />n,_ _ ,_ _
<br />��.� � ,y � � . _ _,
<br />. Dia.......'.........._..� D�}te._.:...:..._...i.._:'.�- ::................19......
<br />a licati I1�sta1L.:J,� � 1 :...............:.inch water service pipe
<br />p� �..� , , �� � � .
<br />;
<br />For ' ^ ' � � • ..........._ .....................................
<br />.... . :.................._......._............, ..:....
<br />, , .� . ,� -
<br />On / •J ' ' .
<br />..,
<br />1� ,��,., , , ,
<br />� •. ,,,,.,
<br />'-i-:t .::..........f.r.:.:.... .�.. -...._......._,.........._..:...::.........__.__..... Street
<br />.
<br />�� � �
<br />a, . ! ,
<br />Lnt.........'= :�.�C1.:2:.:.:... �,%i.:.::.:.:,.__.�. :'B�io6.ti,. .............................'--
<br />; __ , .
<br />. '��� . ,�G7�� �� :��r�"� �i'� .
<br />Aclditinn ; _
<br />..
<br />_:....--- = •_
<br />..
<br />_........ _ .................... . ... _. _....... . . ..
<br />Remarks ............. ........................................._......_........ ---.......
<br />........ .......
<br />._ .
<br />,.-�- „
<br />,o , .
<br />� . ,. -
<br />................ �. :.... '. t...S::^.....S.,C...::.'.._!:.:...........1. ..:... :.�<.L.r..................
<br />/..:7.L('..l....G'.': " _'..<:_}c.:....�.:..c.�.1.."'�' .....__ ...........:: ................................
<br />�
<br />f � l-�r{, � _�. � . L . _ '__._,_....___.'__
<br />'� v�i � � /
<br />�. . ,
<br />, .,,... ,
<br />._..._ ................:............ ....._..........................,.......-�-;•-:--- .:�_..--:
<br />\ ` Superiutendent
<br />w\ � . < < . .
<br />LABOR AIvD MATEREAL 17SED
<br />..................�I Lcad Conneclioa ComPlete
<br />..................i �add'-e Coraplete
<br />.................. Se�vicc Cock
<br />.................. SCl'\'ICr Box
<br />Nn. I{ours Labor ..............._.............................Co
<br />Cul in..._._.._._.... Pavcmant ....................X.........
<br />...... . ............. X.........
<br />....r;��
<br />........................Sq. Ft.
<br />........................ ��
<br />........................ ��
<br />....................X................._...... ,�
<br />..... ..................
<br />Total ........................Sq. Ft.
<br />------- ---- - .
<br />Pemack� ...:...............- ............. 1 ..� -........
<br />,.
<br />..........................._._..........._....._......................................,........_........... _.
<br />,. 1 ,
<br />Order Fcr.eived_._........_.......
<br />1'iork Completed ...:..::..::.....
<br />......., .. �.
<br />_ .......... ........._
<br />Foreman
<br />t
<br />
|