Laserfiche WebLink
w c ran. ! W�o , Z <br />'CITY OF EVEAETT--Water Dept. <br />Application No. S1 �...I Date..........�� .......................19...... <br />]n _411... : .................inch water service pipe <br />For <br />On <br />Street <br />Lot. ........................ V... ............. ........... ... Block No ................ _........... ....... <br />Adition........................................................................... <br />arks......................._......_..............................».........._......_..................... <br />...............6Z........»........_..........................................»..»......_.....» <br />... _..... <br />..................................................._............a....... , i�...._._.._... <br />........................... ................ .......................... ............ ....... upe Sr.....na <br />LABOR AND MATERIAL USED <br />No. I Size <br />Lead Connection Complete <br />Saddle Complete <br />.......................................................................Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor .... ............ .... .... ...................... Cost ...... _............ _.................... <br />CutIn .................... Pavement _._.............. X........................ ....... .......... .... Sq. Ft. <br />- I ....... .... ........ X............... _..»... ......._............. .. <br />4 / <br />y <br />0 <br />Total .......................Sq. Ft. <br />--- - -- -- — <br />Remarks...............'.........._........................__...... ............-._....................... <br />.... <br />.................................................... :............... .......................................................... <br />Order Received.. . .................. .. ............... ................ <br />Work Completed_ ..................:.. 7......... _.:....... _... <br />Forema <br />