Laserfiche WebLink
I <br /> $ J.Priebe�W.'�1�� /3 9 . . � <br /> W.J.Form f• ' <br /> CITY OF EVERETT-- ater �ep t`� <br /> Application N��..I..L.I..3.�._ Da c.............................._.T�/...�_l9-±..1' <br /> Insta 1...... . .. inch water servi ce pipe <br /> �J �� � <br /> ror . ...............7... .... .......... .. .... ... . . ....... .. . . ... <br /> / /� ... ......._Street <br /> On ........... .... .. ...a............-a�... ................ ........................... <br /> Lot................ __..... ................................... Block Nn..................................... <br /> Addi!ion .............. .............................. . .......................................................... <br /> �^ � ► <br /> Remnrks ......../.I.t��.:�... . ........... T-�--t-�—�.................... <br /> ....................... ............................................................................................... <br /> ................ ....................................................................................................... <br /> __..............._ ..... _................... . . . ............................X7�(.7 �... � <br /> . oa............... <br /> _�.._.__. ............. _...................... .......................... .. ...... .......�..'�''�� <br /> � �f�� pV'� Superintc eni/1 ' <br /> t.����y��0 i�w / <br /> �k.A60R AND 11fATERIAL U3ED � <br /> .s <br /> No. Sizo <br /> _. ' -._ .. .___._—__--_ —____ <br /> ._........._.........._�.:....'............. ....�.�i Lend Conneclion Complele <br /> .._. ............................................. .' Fnddle Complete <br /> _... ..............ft......................... ..._._._........... .................................................Pipe <br /> __. ._....... __..._..................: _.... Scrvicc Cock <br /> ..._...................._....................i Servicc Box <br /> _....._.........................................._I .... .........,..............................................._................................................ <br /> Na. lloms LaUor.. ._........._.............................Cost..................._.............................. <br /> Cut in. .........._.Pavcinenl.__......__....7i....................... ........_.........._..Sq.FI. <br /> ................. Y......................... ........................ �, <br /> ._.............._.X...._.__............. �� <br /> ........................ <br /> ....................X........................ �, <br /> ....................... <br /> Totnl ........................Sq.Ft. ' <br /> �- — — �- � ------�- -- — <br /> � � , '�. /�,��_ <br /> Remarks....J�. .�..........1�......[a_... .............................................. <br /> r. .. <br /> __._. ..__.._ ..... . . ........................................_..................................................... <br /> _ .........._...... __....___....................................................................................... <br /> Order Rcccived /' ....._...... ......................... ..... <br /> \7nrk C�m leted..y.... � <br /> p ��r...-..�P....... ... ��C.... <br /> ..... .. . .. � <br /> � , Fnremen <br />