Laserfiche WebLink
71 <br /> J, <br /> 1113-03 <br /> CITY OF EVERETT­Water Dept. <br /> e,C <br /> Application No-j.../ I Date ....................19...... <br /> Install...... . ..............inch water service pipe <br /> .......................... <br /> For ......... <br /> . .............. ... Street <br /> On ............. ... ..... ...... . ... ... .................._.»........ <br /> Lot............................................................ Block No........_................_.._... <br /> Addition ............................................................... <br /> ...............................................­....****"'**... <br /> Remarks ............................................._......_......_......».........._.._ <br /> ...........................................I........................................................................... <br /> I................................................................................................................... <br /> .........................................I............................................................................. <br /> ..............................I...................................................................................u. e. ..................... <br /> LABOR AND MATERIAL USED <br /> No. size Lead Connection Complete <br /> ............................................... <br /> 0* .. .... <br /> Size <br /> Saddle Complete <br /> . ......... <br /> ...................... _.._.....I............... S ............................._...........................Pipe <br /> ....................It..................... -- <br /> ........... Service Cock <br /> ... ................I..»..... Service Box <br /> .................... ...................................................................... <br /> ............ ........................... ........I........................................................................................ <br /> ......................................... <br /> ................. .. ......................... <br /> ................No. <br /> ................ <br /> No. Hours Labor................... <br /> ........_.........._.....Cost........................................... <br /> Cut In...................pavement..................X..................... <br /> ........................IN.. <br /> ...................x...................... .................... <br /> ...................x..................... ....................... <br /> ...................x.......... ........... <br /> Total .....................SQ.Ft. <br /> Remarks............................... ............ ................... <br /> ......... ................................I............. ..............I........ ............. .. ..................... <br /> ..............................I.................................................................................. <br /> OrderReceived.. ...................... ... ... .... ... . ....**... .. . .... ...... <br /> .. . <br /> Work Completed........................ . . . .............. ................ <br /> rcre n <br />