301 77TH PL SW 2016-01-01 MF Import

CITY OF EVERETT- Water Dept. Application No..,I..'4.Z..... Date.............hk---Ar..--..... ........18 ..3 �1 sttalll ,,,,._,...........Inch water service pipe For ........ ..ll a c .....r�. . .... '................._..................... On ..._....d! l.- ...................................... Street Lot...................». ....................... Block No........_......................_ Addition ............ �. a, �r:x�"Xc ..... wn t ......................... Remarks ......:mac K ,:..._..................................._........ �, � ...-... ... u:......_-.......w.............. ..........�...... .�..................................... ........o v ...... ........._...*"*,*......_..........................._.... '..............�$ _ ..................__.. r . . . . .....� .. p........... Saperinte ent T / 'LABOR AND MATERIAL l7SF.D No. Size ---- ......._........_..»..__ .......... Lead Connection Complete Saddle Complete ;i : ......Pipe .•.•••,••_•„_„_„Jy,r„!... Service Cock .........._......»...........e.a../......_.._. Service Box .............._.............._..».... .».............. 4ua a.._.._.r_% zl' ...t:, ,.. Lu..... .Z� v._......._. l.v.U.ft:.........ar.fa...»._ll1� sc1__ k c :s ....... No. Hours Labor.......................................cost........................_..................... Cutin...................Pavement....................X.........»............ .....................VA.Ft. ................... .................... ............._...... .� Total .......................Sq.Ft. Remarks...................... .:...::.:..,'....................... ......:........t :........ ........ . .. ............................................................................................................... ......... ....... OrderReceived............................................. ............................. Work Completer' 1.2......1.5:.. :.:::........1..:.....:.:.'.i. :... ...r..Foreman •.