Laserfiche WebLink
L�.Mrt�C���O�� • /��// <br />W. 4. 1011N ' <br />CITY OF EVERETT--Water Dept. <br />_ � , , . . �� <br />, ..-, , . <br />Appllcation No .......:.....:..... ....f' , Date ...._c........._:'...... . .. .........19...... <br />,Iastall.._ ��L.�........... .ir�ch p�t�r service pipe <br />�� ,� i..� .. . <br />Fot ...,.l.�f:i.,:�r :.::....:............ - ..........................----.............. <br />......._ .......:....... . . <br />% : , .. , � , �� ----- , <br />On .._-.- : :............::..........._ .:.'..:..:....c:..�..:...�...................._....... Street <br />[� j., � � � - ...... Block No ......................._.... <br />Lot......'_!.,i.._:_.....� . ........ ............. _. ....... <br />Additio�� . ..................................................................................................... <br />Rr:tnarkd ........,............_ ....................._._.....-�---.._...,.............._.._................. <br />i�T , , <br />, <br />, , .... � ........ ... ......................... <br />' ' i., :.� ' �: l <br />No. <br />LABOft AND MATERIAL D9ED <br />Leed Connaction Complete <br />Saddlc Complete <br />............................... ............... _.......................Pi pe <br />Service Coak <br />Servlce Box <br />...... .... .............. .._.............. _....... ...... .. ........................ <br />. . - - -- ... ........... ............... ..... ............. ..... ........ <br />No. Hours Labor .........................................._.Coet.................................................... <br />Cut1n ....................Pevement_..................X......._......_....... ..........._...........Sq. Ft. <br />i . . . , ....................X.........._......_... ......._.._........... .� <br />...„ . .. <br />�-; , <br />� � ....................X........................ ..........._........... �� <br />...................X........................ �� <br />........................ <br />Total ........................59. Fl. <br />nenmi .0 ...................................._....................................................................... <br />. , <br />� � <br />�-� .���� � .�.. - �_<:.i.t:.�.T�... <br />.. .................................................._.. ............... ..... . ....................... <br />� . _"kM.:r.a ...................................................... <br />.................................................. ..... .... <br />Order�eccived ......................................................�....,.............................. <br />\�ark Campleted.l.i.:..�..::.:...:i ..::....................�..} ' ' v...r................ <br />i <br />� Foreman / <br />