Laserfiche WebLink
s.J Pri.b.�M7.�619is��o/ � . . - { .- ' �� ' ('/ V �R �Y <br /> W.D.Form J t <br /> CITY OF EVERETT--Water Dept. <br /> Application No...._.!!�.�.�.�..� Date ..............................�//SU.19,C�:..� <br /> �� �( Inst 11..............'-�.5�........inch water service pir,e <br /> For .:�?.�.......C/..�.....�,,.�}s,. _..�._Y4�...................................._--............ <br /> 1 � � 1. �a` <br /> On ... ... ....... ... ....n.d_... ..._:!.^.................................................... Street <br /> r <br /> Lot.............................................................. Block No..----._5:;...�.�.._.... ........... <br /> Addition .......................................... ................................... <br /> Remarks �f —`�,'�� --�'�----.. <br /> ........�..�4�:::....................................-L--�---............................ <br /> _.._�----� .�� :.\...... .......�::�.:�_i:�...-.................................................... <br /> ........... ....::. .. ....... .............--��---...---.......................--- <br /> ; . <br /> ... . <br /> � , <br /> .:.o�. ......r. .,..` .......................................�f.._... ..._ . <br /> ..... <br /> �� <br /> . �, , , � ;S� <br /> ......;� <br /> : . ,- - , ..! �._� <br /> , , . <br /> ....�:...... ..r,'........:.......:..............................................�-•---..:�........ .� ....:.. �. <br /> 6' � � Superint�dent <br /> �1;-�� � -� � <br /> � - <br /> � --� � LABOR AND MATElt1Al. IISED <br /> No. Size � <br /> ............... .. ...........................� Lend Connection Complete <br /> .........7... .. I Sad Co le <br /> .......,l. ft. . jl�.. .Q- ..... r...................................Pipe <br /> �...............K. ..... .. <br /> � � � L <br /> ...................................................... Servic o <br /> ...................................................... Service Box <br /> ............._......... .._........�....._....I ......._._..._......................._......_....::......_........_................._..:........._. , <br /> No. Hours LaUor..............................................Cost................................................... <br /> Cutin....................i'avement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......_......... <br /> ....................X........................ �. <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.E't. <br /> -- <br /> Remarks..........................................................................................:....�--........... <br /> ...........................................................................................................�---•--...._ <br /> .....................................................................................................�----.................. <br /> OrderReceived...... .............................................. <br /> '� .0 / r��.,�. � <br /> ................................... <br /> � <br /> 1�`ork Complete :.t..r..... ....�.....�......--....................c.c.:. ........ ............... <br /> � �Foreman <br /> —�c_.. . <br />