Laserfiche WebLink
L 1 PMlt�l-9M��v �� � _ �I_��•� <br /> w.O. I011M 9 � <br /> CIT'�' OF EVERETT--`Jilater Dept. <br /> Application No....�lJ.r��_S.. Date .. .......... .. G��� 19,..`� <br /> .r ........ ................... <br /> Inatall... .......�...7:......:inch water service plpe <br /> Fo� ......1.J�<:}.�..�4c..... �`,�:.;,�.......... <br /> ................................. . ... <br /> . ......... <br /> On :�3i% �_v �.v �1._.......................... Street <br /> .................._.................._................�L....�. <br /> Lot ............................................................. Block No........_.............._. <br /> ........_ <br /> Addition ......... . . . . ...............'(:.f.F.:.. <br /> . . .. ....... <br /> .................................. <br /> . . <br /> Remarks ...... _ .}qf"aC�� ,/+tr��i '- `� ) <br /> . „ <br /> ................ . - - <br /> . ......................................[2.�, t <br /> ................. <br /> _........... ............................................._............................................................... <br /> , <br /> :........... .......:........j, <br /> , .. , �..................................................................................... <br /> _...:.........'........:,_ •� ,�. . <br /> . . . . . . <br /> . ....................................... <br /> ....... ..f.......... <br /> . _....... � <br /> ..� <br /> .'�....`5;.._. <br /> . ,�1c �< < <br /> ,��.c..�-3 ............................................ n�, <br /> yT) / �i .......Superintender.t...�� <br /> I <br /> r�s <br /> LAAOft ANU MATERIAL II6ED <br /> No. Size —"- <br /> --- —�—�---�---- <br /> ...........................................__....... Lcad Connectian Complete — -- <br /> ...................................................... Snddle Complete <br /> __.......... U..fl. .i :' <br /> 1. � ........................ .....�^...;.:.�'.G. � p�4 <br /> 0 � ............................................... 1 C <br /> ....................................:::............... Servlce �ock <br /> ....................:.......:..;.....�....:.......... Servlcc Box <br /> No. Hours Labor..............................................Coal.................................................... <br /> CulIn....._.............Pevement....................X......._............... ......................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ ........................ .. <br /> ...................X........................ �� <br /> ....................... <br /> Totai ........................Sq.Fl. <br /> --- --- --- --- <br /> Remarks.............................................�:..::..�.....: <br /> :............................................. <br /> _.:�.:.:.._�:................,.:..t.....:.. <br /> ........................................... ...................... <br /> ..................................................................................................................... <br /> OrderPeccived.. ............................................................................................ <br /> \Vork Completed..:[..:...L . . � . <br /> .�..:...:......................... ......L:...:.f..i. ;�.t......_./ <br /> Foremnn <br /> ■ � <br />