Laserfiche WebLink
9. J. PN12'd� � � � O � ' . - � (� q �L <br /> w.fi. �onrn h Y d , <br /> CITY OF EVERETT--Ctlater Dept. <br /> Application tio.. �) C� � � �t ..f.............._�..:....�.......----..19_�e � <br /> �.. :........... .... �) <br /> Tnsta7llr....a..;�..._`_+..........inch water service pipe <br /> For ...�.r...:....�':...�,I.L.�I.�.�,..�_. ..L'._t1.<G.:L/. ::....................................--- <br /> On ._..._.�.�C..�.........lc..-.�'c-.:t:�.4.�:'�;�:�1�._t�..�-- <br /> - r ....--•---......... Street <br /> Lot.............................................................. Block No........---.....................---•- <br /> 9ddition ........... ........................ .................................r.�...........,................... <br /> Remarks ...........�--.......�.l.:L:�.�n..4:.::�:1..5�.�:1::�:......-------- <br /> ............................................................................................................................ <br /> .......................................................�--.................................................................. <br /> ....................................................................---....... �_�---•--•- <br /> .................................................. ; •••-./�.....-Supe rtA�!l.Kc., <br /> I. ,. .5�.�..L.L......... -, <br /> ..."'.'.........."'....{.�a�_ � <br /> � � ndnnt , <br /> C. 1 �-I <br /> LAEOR AND MATERIAL i�3 <br /> No. Size <br /> ...................................................... :.ead Connection Complete <br /> ...................................................... Saddlc Complete <br /> .......................ft........................... ........................................................................Pii�e <br /> ......................................._............. Scrvice Cock <br /> ...................................................... Service Box <br /> No. Aours L�bor..............................................Cost.................................................... <br /> Cutin....................Pavenent....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ...................X........................ �� <br /> ........................ <br /> Total .... ..............Sq.Ft. <br /> -- --_ _- _ <br /> Remarks............................................................................................................. <br /> ' , 'S-�r-S <br /> .........�..::C.-..7.......... ................................................................................. <br /> Sd' kJ. <br /> ................................................................................................................._.....----.. <br /> OrderRecei„ed.............................................................................................. <br /> �Vork Completed........................................................................................... <br /> Foreman � <br /> —�_.._ - .��: <br />