Laserfiche WebLink
Cl <br />� w. n1Fo.m a isoo a-:-n c. P <br />CITY OF EVERETT66V1'ater Dept. <br />?H�5_ �' <br />Application No._ -- lla[e---- �--?-----1`l�-� <br />Insiall_-�2._. __irch �cate:• sercice pipe <br />For----�-�%cu-�.__�-'-�-'-� ---�-�-1.�-a-a-r�..---- <br />On-- ------ � I � - -----Street <br />�- ------ - - - -�-- ` <br />Lot-------,------------Block No.'__v _-� ��--- ------ <br />Addition---------- ---- -- ------- --- -- ---------- <br />Remarks---- ------------------------ -------- <br />-------- --------- - ----- -----------�- <br />------- .��y} <br />-- ---- - <br />----------- - - - ---- <br />_�..� '__J� _ SuPcrin�Ende i ��f' . <br />LAI30R AND �SATEItIAL USCD <br />Lead Cunnection Complete I •- . . <br />Sil(�I��l• C)lI11P�l�C <br />`_.1..�.!`"__"__...__." ___""_..{I�ll` <br />Srrvicc Cnck <br />S�vvice Bnz <br />'"_"""_ _ _"_ _ <br />�__""' "'"_ <br />No.HoursLnFwr.__.. '—_ _CosL__•�"t.�_.___'_.'_._."'___ <br />_:_.._.___ . ___ <br />Culain.'___"___ __ 1'avement._-._...X..'__"'_ . _ ..'._'___ .SQ. Ft. <br />'_.'_"'X_'____"'_" ____""" <br />.. <br />'_" _.'_\__'_'_"_'_" '_"_""'"_ <br />.. <br />_ ... ...X'_""' '__ ' _ .� <br />'1'otal. ---'-----"54. F� <br />--_--= _ — _ <br />—_� _..- ��% , _ - ; <br />�_i��,i.�' ti✓/..;- —_'_ � -. . .�. , . <br />Remarks_ '.__. . _-=�---- ._ -------�--'------- - <br />--- --- - --- ----- - /--•---------------------------------•--- - <br />--.. --- - <br />Order Recciced .---- " --------------- - <br />-- ,-"'_, " <br />_,-._ <br />Nork Completed ------• / ,. `�c'w�e_ __.__ -- <br />Foreman <br />r <br />p �.� <br />i � -. <br />. '� <br />,e <br />al� � <br />�ru'. <br />. - ;::s,: <br />. �� <br />- �u. �' <br />