Laserfiche WebLink
5 � �- <br /> .,, � <br /> �.l.PriuSc3M7.46 355� � • <br /> W.U.Form] 1 • � � � . <br /> CITY OF EVER�TT--�Xlater Dept; <br /> � / <br /> Application No.. a � �./ (.1�_°.�.....19.��...� <br /> .....`�..1......... nace:............................ ... <br /> .. ,� � r . . <br /> Install..........::y......r..�....�..—...-irych water service pipe <br /> For ...........�!`:::�::!�..-:L..l........f.�sC.�GG-:.��.j.4zv..............----......----- <br /> 9 ' i � n. �,. <br /> ..�.�-�.�' <br /> On .............�..�..�..�.........�..-.::----. ...�._............._...........---... Street <br /> .......................---- Block No.......... �.... ........ <br /> Lct.........................�..... � a�..�.�.�' <br /> Addition ........... .. . ...................:.....................j...........X. <br /> Remarks '..`):^..-!.::...<'............. .., � <br /> ............................ <br /> , I � <br /> �......,.r.-.............�..!_.....�r. fi-- <br /> ....""' "". .. .....:� <br /> ,..- <br /> . . . <br /> �--�---_���_. � <br /> - -. ..�...���.�7.............................................._... ....................................---.. <br /> ...�......../........................................................................................•--.....-••..... <br /> ....1.�.-/...'-..�Y...�t................................................................. . ...�-...... a • <br /> ... ' " <br /> �p, A = <br /> .�r .....L.........�-M-c_, <br /> ..... ............................................................................ .... <br /> Superintendent <br /> ✓% � � <br /> LABOR AND MATERIAL USED <br /> No. Size i <br /> --- --� --- <br /> ......................................................I Lead Connection Complete <br /> ......................................................' 5addle Complete <br /> .......................f t.....----................... ........................................................................P i p c <br /> ...................................................... �ervicc Cock <br /> .................................._..............._. Scrv:ce Box <br /> No. Iiours L�bor..............................................Cost.................................................... p <br /> Cutin_..........___.Pavement........._........$........................ ......................^9.Ft. <br /> ....................X........................ ,� <br /> ......._ . . <br /> ....................X........................ �� <br /> ....................... <br /> ....................X........................ �� <br /> ........................ <br /> Tolal ........................Sq.Ft. <br /> -- -------- -- --z r=-- —�-- - <br /> _ , <br /> l...' . i - . . . . <br /> R�m a r ks...._:.............�.................:....:......:..:...................................................... <br /> _ _..._._.............................................................--............................_.................. <br /> .............................................................�----............................................................ <br /> OrderReceiv2d......................_....................................................................... <br /> ':�arlr Cam�Icted.....:....:.�::.:'........ i ..' l <br /> 1 /..._................................._.._................. <br /> � � � Fareman <br /> �� <br />