Laserfiche WebLink
vbe1M'l.�9�s /�M T . . <br /> J.Porm) V �/ <br /> CITY OF EVERETT--Water ept. <br /> ,/ - ; . <br /> App]ication No.�.�'._�.�7._7:.... Date. _...................1.. ..�-�--..._..19�i.. <br /> ' Inslall....._�..1_7�.........._inch�vater service pipe <br /> � . <br /> For �: '•- '' <br /> ......:�c.:�.t!�t............._..._..:................_. ._�_..._....._._............-•----•--�— <br /> Qri .......__;;.�.- 1�__�1......:" l'.. ' � ,' , i — <br /> _.......:....:..:..�....................................... Street <br /> Lot........- ........... .............._...............�(... Block No...........----.......----......... <br /> Addition ......................................................................... <br /> ........_....................... <br /> � �, :, . <br /> Remarks • '-'� .���` ,� _ ' <br /> , <br /> , . , <br /> .......................:.................. ..�............._:_......:... ..._................._, <br /> _..........................................................._............_.............................---_.....------ <br /> ...... ....................................................�.... ...........................-�- --��--�-�-� <br /> � ..................... .... <br /> ............:.:............................. .�....�!... <br /> � <br /> . ....... .......................,..._..�/.,./..._....,. <br /> ..,, , �i � ` <br /> ......... ..:::....../ :....................rv...._.........y..'. p ._�_�V._ti..: �.. ! � <br /> �J /�/, � �� '� Su erin� ndfent <br /> _____—�.C-i�—�— � <br /> LABOR AND 11iATER[AL USED <br /> No. Size <br /> --- — — — <br /> ...................................................... Lead Connection Complete <br /> ..........................................._......... Saddlc Complete <br /> .......................ft......................_.... .._._..._....__._.__............................................PiPc <br /> ..................................................... Scrvice Cocic <br /> ... .................................................. Servicc Box <br /> `io. Hours Labur.............................................Cost.................................................... <br /> Cut in.._..._ '._.__Yavemenl........... .......%............_.......... ......_................Sq.Ft. <br /> ....................X........................ .� <br /> ......._............... <br /> ...................X........................ ., <br /> ........................ <br /> ....................X........................ ................. ..... .� <br /> Totnl ........................Sq.Ft. <br /> ------��------�---- — — <br /> Remarks.......:.`.�...::...i:� �� -....._......_..-..................................... <br /> _._..............................._..........._.......................................................................... <br /> ..... � <br /> ...... .. .. '�.�..............:..... '............................. <br /> Ordcr Received................._...:......'_..:....' , <br /> . ......................... ............. <br /> , <br /> . i <br /> ....:..:.:............. .�........................... <br /> �i'otk Campletcd..................__.......' ...._...................................................... <br /> Foreman <br />