Laserfiche WebLink
� � .;-��_ -. r <br />I J `I <br />9.•J. PFI[ .E 9�. �•� •� ' . � �� �� �.! � <br />���� W. O. fORM 3 <br />` : CITY OF EVERETT--�Ylater Dept. <br />T;.�/ �:� � ,; ,.—a` <br />APPlication No..!� �...1......_.... Date.:.<.'.--�=•-=-=--_:�..........------.....19.`..�. / <br />iastall......'��...�� � ............. .inch water �ervice pipe <br />� �, i; _ /,� _ � / <br />For..:.::.:_t::�... <br />.. ` ...1.....: :. <br />,,. _.� , , <br />� <br />On ... .C..2.!_:_':,.; � :.: ...:...... <br />Addition <br />_Tiemarks <br />� _-. <br />• ,., <br />J� t .....:.... ......_ <br />� . <br />� ' i/d.a..,....... <br />,�-i� _ <br />i: n. <br />Block <br />�ti � <br />LABOR AND MATERIAL II3ED <br />........................... ............ ........ _ ---- � <br />:.ead Connection Complete <br />� .� Saddle Complete i p <br />.. . .......... . . .. . . ^ <br />7 � C; r <br />-0 �..�r)........... '-� ..Pi <br />. ..... <br />..........J_.._...ft............� ............ ......................... �'...........�............. pe <br />.................................._.._.............. Scrvice Cock <br />...................................................... Ser�ice Box <br />Street <br />,:, <br />No. Aoura Labor ..............................................Cost.................................................... <br />Ct �in .............y�....Favement....................X........................ ........................Sq. Ft. <br />�// � �/ X ........................ ........................ <br />� .................... <br />� �� <br />� ....................X.........--�--.......... ............... ....... <br />� / �� <br />_ � <br />. , _, ....................X....................---. ........................ <br />_ Total ........................Sq. Ft. <br />--- -- — <br />P(.7112Pics ................---..............................................................__...... ._........... <br />_. ....._ ......................._......................................_.......""'"'""................._................. <br />.............................................................."'"'"................................""""""................... <br />Orderi'eceiced............_ .......................................................... .................... <br />_. — L'��"� <br />\�iort:: Comple,ed.......�-,...:.�..�......k.....1 ...:......... <br />................................ Foreman <br />