Laserfiche WebLink
_- , .s._....,r_. --�. <br /> —(�/(�� <br /> S ):P:ieM1e�M'1•4619�55�3z 5 `�' q G a•�,• <br /> W.D.Form J <br /> CITY OF EVERETT--Water Dept. <br /> -, ,. , � �� � <br /> Application No....::..::_............� Date..._............_...................--....19...:.. ' ' <br /> Install....�.::..'..................inch water service pipe <br /> , , � � ; <br /> .. <br /> c ' -..........s.::_'_:.:�.:.::..:--'.. ........................._......__... <br /> For ..... ...........:._...._:... <br /> , � . � . <br /> , � <br /> �F^_ �a .''�• '✓..........__. ......... Street <br /> O, - ......... ... <br /> .i .._......................:..:.....::.................... .. <br /> . ., � <br /> Lut_.._....__..._......�.--......... _ ............. Block No..__.....:...,�..-----.......... <br /> Additimi ' ......... ..... <br /> Remarks .........._ " ' . ..................�..._...................... -......................... <br /> ... ... . . .. <br /> , , . . , . . , <br /> ,lt�..::.......:...'.....:.--..-�_.................-----............_...._--...... <br /> ....---'........................................................................................................._......_... <br /> - , <br /> ................................_........G..._.......:......-'�'-"-'.....,............ <br /> ................................ , . , <br /> i . � <br /> -:'\._...:....�.:..__�... '' t.: .. , <br /> ......._....... . _.... .......�........ <br /> _......................_............................. , , � <br /> �1 SuperinLendent � <br /> r ir 4 <br /> �.—_ _'_ � A <br /> LABOR AND MATERiAL USED '�� <br /> Nc. i Size <br /> i __ ._.. _ - — -- ----- <br /> ...........................I._._..............__._� Lcad Connection Completc <br /> ._ Bad�lc Complete . <br /> ................................................. . , <br /> -. � � .� ..r.� <br /> b 3.... � ............._�.�:tt:. '.:?�:.............................PiPe <br /> ............._... tt........._�........... <br /> ... r..... <br /> ......��.�.:L.._.__..... Scrvice Cock ' <br /> _. _. ....... <br /> ., ,,, �. ..._ �ervue IIox <br /> � . , ( !. r1' a��. � �� ............... .... <br /> ............ ..........._...... . <br /> ..... ........ ........ .....................� <br /> � L-n � A��'.../.d._...r__...:../ .I/ e-T[l I��....`�...... <br /> 1.... .....- ....�:. _... ....__._... . . . _ . ............... <br /> _........... ....... <br /> .... .. <br /> ii-, " (� �, Uf�✓1��, , " 11�..:�...................... .� <br /> r...... <br /> r. <br /> _._. ....:.....__. . . ..... <br /> _....... ..............:............. . <br /> ........................_.._._... 6 <br /> _ = i <br /> � ......................_.....--.......... <br /> ...... ......................... ............. <br /> .......... ' - <br /> , .s� <br /> . <br /> No. iours L�Uor.........__.............._..._...Z...._Cost....�..G..........:.........._..............-- <br /> Cuti:i....._...._.......Pavement....................X._..............._.... ........................Sq.FI. <br /> n � ....................X........................ ........................ <br /> �� <br /> �/l .D�/JPd.U..r' ....__...........Y......._............_. ._..."..'.'........... .� <br /> �� ....X........................ ........................ <br /> 9 ` Total .......................Sq.Ft. <br /> � --- — <br /> Remarks... _..... ' ..................................................... <br /> �� r....�.�....j....»....-_..... <br /> +�s•'/ � C �'' ................. <br /> ._..c.............�--.....- . - <br /> ...._......._ ._.. / <br /> ... ._.'..'....."_..'.............................. <br /> _._........_...��....�.....�...l.l"__"'.....�.. ..................__'•".................................... <br /> OrderIieceived......................................................................._.......--• ... <br /> \Gork Completed.........................__.........................................................._.. <br /> Fomman <br />