Laserfiche WebLink
�Af <br /> CITY OF EVERETT--Water Dept. <br /> Application No.f. .r1..L_:1 Date............: ...... .......................ls =.� <br /> 17st`L.............j ..,.,"/Inch water service pipe <br /> For ....... .. .::. .1. ........:.1...... ...... . .:............................................ <br /> On ...........zi.......e....._/....��/....:J....L::_....... Street <br /> Lot....................................................._....... Block No................................ <br /> Addition .......................... .. .. . <br /> ................ <br /> Remarks .......................... .:�.� . :.,:ter. t .... r . ............_..........._........ <br /> ..................... .. . ............................................................................._..... <br /> ...................................................................................._.................._......_.._.._... <br /> ............................... ............................_......_.................................. <br /> _..._..___-... <br /> ........................................................................................................................... <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> ,... N° Si <br /> ze <br /> . .........__. <br /> ........ <br /> Lead Connecli-n Complete <br /> ..................._ ........................... Saddle Complete <br /> ........._..it._........................ ..............................._.................._........._.._...Pipe <br /> .................................................... Service Cock <br /> .................._.................._...I......... Service Box <br /> No. Hours Labor..............................................Cost......_................._.............. ...... <br /> CulIn....................Pavement...................X.................... .......................Sq.Ft. <br /> X................... <br /> X........................ .. <br /> ....................X........................ ........................ <br /> Total ................ ... rq.Ft. <br /> Remarks_...... ... ........................ ..........._. ........... ........................ <br /> ................. <br /> _............._........................................... <br /> ............................. <br /> ........-....._...... <br /> ..................... <br /> .... <br /> ............ <br /> � <br /> OrderReceived ................_..._..........._.......__........... ......_..-..................... <br /> WorkCompleted_........_. ........ _ ...... .. . ........ ._ ................................... .. <br /> Foreman <br />