204 76TH ST SE 2016-01-01 MF Import

/fir+✓ V V V' ,1 � � CITY OF EVERETT,-Water Dept. Application No.�. ... PoeL . .. .................18:�.� __..; inch water sery1cq.pipe For ........'.. On .............._.........:....::.......:. ' Street ............ . . ............ Lot.............................................................. Block No............ .. Addition ............................................................. Remarks .............. ....................... '1: . . , . �. .................. ...... . � �r....:.,..� ..............� Superixtendent LABOR AND MATF.RfAL USED 4� No. Size I _ ........................._......................... Lead Connection Complete — ...................._. _.........._............. Saddle Complete ......................SL_........................ ......................................................_... ..........Pipe ............._..................................... Service Cock .................4.................................... Service Box No, Hours Labor......................................._...-Cost._......................................... CutIn....................Pavement.............._...X....................... .....................Sq.Ft. ...................X..._.._...__.._.» .................... ...... ............X....................... ........................ . . .......X..._................... Total ........................Sy.Ft. 00 Remarks......... .................................... ..... ........ ...... .....I. ........ .... ........ ....................:......_:... ... ........_....... ...................... ....... .. . � •. .................. ................................................ Order Received.....................J-1-1:'' ` Work Completed......... ... .:...`. .... ._'. . .._....... _._ .:. ..'..........',:.:... Foreman