Laserfiche WebLink
�'��'o:�,M,:,a��,5�f��8f� � .° n v <br /> CI�T'Y� OI� �VERETT--'VG'�ter Dept. <br /> / ��� �� � _ � � - � <br /> Application No....L...�..�...�..� Date...L..._. ............/.a...�........19'`�.Y <br /> Instell..../Z......................inch water service pipe <br /> ro� .............. _ ............._._......._..... ............ <br /> -,� , . , <br /> ....... <br /> ...... ........ ............. <br /> Gn .... ............�../.....�i._'�Z.'.. .... :E........'!. �:-r............._............ Street <br /> Lot........._.....�?.. Sr.............................. Block No........lr..'..��....�.'........... <br /> Addilion .... ................. - . _ ..................t.:........_................................ <br /> �.y..'' <br /> Remarks ................../...L�(.rtzrL.rs:::�'...:_:.-,..,_,.................................. <br /> ..................._..........._�........r_... ....... ...... ........._,.............j <br /> ��.. ................ 1 <br /> ........ .......... �r �� ;: r7 l � � Y <br /> ............................:5,,,�!.............. I}. t l......_�_f....... <br /> ?iT_......................................................... �.l.i.....-.�jl..�..................................' <br /> ��- . <br /> y� C�I " � <br /> f...........1''................................. ... . ./....11. .....1.::i.�?z:�............................ <br /> 6- 2 3 ' 10 /�t _�__ , Superintendent <br /> _---- �s.��� <br /> LAROR AtID MA7�ER[AL DBED <br /> -----No.---I--Size _ <br /> _._-------- ��-- ---- <br /> ................................._............___'�. La�d Cnnnert�co Complelc <br /> ._....................... .........._..... ..._ _! ^unddlc Cumyle'�= <br /> .......................1t..._......................� .._..__................... ..........................._..._........Pipe <br /> ....................._........................._.... 3r.rvicc Cock <br /> _..............................._......._..._._. Scrvicr. Box <br /> Nn. Ilow�s Lebor._........__...............................Coet............................................_..... <br /> CutIn.....__..._.....Pnvem::nt......___........X........................ ..._..................Sq.Ft. <br /> ........ ._......X........................ �� <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> ......._._._...X_...................._ �� <br /> ........................ <br /> � --_ -- -----z-_--_�—��� <br /> Totnl ........................Sq.Ft. <br /> , , <br /> R c m a r k s...:.:,..-.,-._......._......... .......................................................................... <br /> __..__ ...'_.. . ... ......_'.......................................................__.._......... ........... <br /> _. .........._.. _........................................................................................... <br /> OrderP,eceieed.. .......... ................................................................................. <br /> \York Com�ilet� i..........................:..... �. <br /> . .............................._...._�_..._.... .. <br /> Foreman / <br />