Laserfiche WebLink
++ a. IOIIM <br />CITY OF EVERETT--Water Dept. <br />Application No..%,1. l.: F Date............cf.....1.................. ..lp..:- .2 <br />Ins I <br />1�.......1�.. J / inch water ser, lee pipe <br />ForG:.....k.(.�.c.a'! _............. ............. <br />J ....._.o.. \ ..... Street <br />On ...........l.�I ...`%d._.a: ............................... <br />Lot .............................. Block No .... <br />..... <br />. ..... <br />___ ... <br />.. ... <br />.__ <br />Addition.......................................................................................................... <br />Remarks......................_............ n......_....._......_... ....._..._.._.._............. <br />....................................................Z��...2.Y.1.4� LdT2.w....._.............._... <br />................................ ........ ...................... ................................................. -..., <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. Size I <br />.................I Lead Connection Complete <br />.................. Saddle Complete <br />Service Cock <br />Service Bo: <br />No. HoareLabor........................... _................. Cost. .................. _._....... ............... <br />CutIn ..... _..Pavement................... .X.... ............ _.. .................... Sq. Ft. <br />.................... X... ................. .. <br />.....-......... I ... X........................ .� <br />........... ......... X...... .................. .. <br />Total ........................Sq. Ft. <br />Remarks .... ...... ........... .......... ............... ...... ...........__............ ......... ............ <br />... <br />..........................................-....................... ............................................ _........... <br />Order Received ... ...... .......... ................ ......................... ........ .................. <br />._ <br />WnrkCompleted ...... ....... ........ ..._ .............................. ...._...................- <br />Foreman <br />