Laserfiche WebLink
CITY OF EVERETT--Water Dept. <br /> Application No✓..'..�) Date..................... ...............19...` <br /> Install__`.... _..............`..inch water service pipe <br /> For ...fi.�..... Ct. ....._ .:J .:..:.L.:... ..1. ..................................._ <br /> On ...Z.Z.rg...........7.12-/4....... .__....... Street <br /> Lot............................................................ Block No........... <br /> _._......_..__.._ <br /> Addition .................................. Y :*--*7'—'—"**--*—... .. . ... .... <br /> Remarks .................................. .................... <br /> ................................................................................................................... <br /> _.. <br /> i <br /> ........................ ..... ........................................_............................................... <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. Size I <br /> ............_._......._......................... lead Connection Complete <br /> .............._.._._.._........................ S,,idle Complete <br /> .....................1t.......................... ............................................................6.......Pipe <br /> ...................................................... Service Cock <br /> .._.......................................I......... Service Box <br /> No. Hours Labor............4...................._.........Cost........................._................. <br /> Cutin....................Pavement..............._...X....................... ..._.................Sq.Ft. <br /> ......._...........X.................... <br /> 'r <br /> ....................X.._.._.._........... .............._.._... w <br /> ......._...........X........................ ........................ <br /> Total ........................Sq.Fl. <br /> Remarks......... ......................................_..... ........... ........................... <br /> .. ....................... .............................................. ........................_... ..................... <br /> .................................. ............. ............... ............................................_........... <br /> Order Received..... .............. .... .... _ . ...................._........\re-rm�a <br /> . <br /> %i*ork Completed.._... ... . ..__ _ ......, .... ._. _ .....__...............Fa <br />