Laserfiche WebLink
9 � � 1� ., <br /> S J.Priebe 1M. {6 A95! O i�..A���y /1 •� ✓ <br /> W.U.Furm 3 - <br /> CITY OF EVER�TT--Water Dept. <br /> � " '.�) <br /> Applicatiai No...J�./...!�.:1.�� Datey.......................�...�:. ...�......19..Y_/ <br /> Install........:.,��:�1...�.........i.nch water service pipe <br /> For �?-..����-�� ' y � .., �.............................. .. <br /> ............�... ..........-- .............._>.1:?�.:........_. . . .. <br /> `, �� � �� �l . <br /> On ............:.7:.�..�.........�V-'�..�:...-tt�.:,.. .........hJ:�.ndt.::�..r.. Street <br /> Lot.............................................................. Block No..................................... <br /> Adclitian .............................................:.......................................................... <br /> T,' .�.f...� l � �J_- .. F .r �_ <br /> _i .1T1II1'�:5 ......... 1.:..:.:....................:...:k:......:f.....::..!._�.�..�-a............."" <br /> ........................................................................................................"""'..........."'" <br /> ........"'................................................................................................................... <br /> ............ ........................................... ................. <br /> . r„�,............................�.. <br /> . .. / <br /> ,<: . .�,�..... .. n?.::.. ....................... J��:�:�!�_ <br /> ...�....�.....J._..' ..... .... .... . __. <br /> .. .. . ...... �, <br /> �L-' . ` � � S`uperintepdent <br /> _ r_�' _ Q, � ��_ ;J <br /> , LA OR AND hiATERIAL USED <br /> No. Siie <br /> , _....................................................i Lcad Connection Complete <br /> � ......................................._............. Saddle Complete <br /> � .......................ft............................ .......................................................................Pipc <br /> ...................................................... Scrvicc Cock <br /> � ...................................................... Servicc Box <br /> ' ...................................................... ................................................................................................................ <br /> No. Fiours Labor..............................................Cost.................................................... <br /> Cutin....................Pavemcnt....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ...._............. <br /> ....................Y........................ ............ ......... <br /> ,� <br /> ....................�i........................ „ <br /> ........................ <br /> Tctnl ........................Sq.Ft. <br /> __ ------------ — --- — <br /> ' 'l„ . <br /> �! �, ;_ :, � <br /> Remarks...�..t,��...............�f......,..: / �...........:...........................----.............. <br /> ..............'...............................................................................................-----..... <br /> ............................................................................................................�--�- <br /> Order Received... ............./.............. ........................ f j);�-�''�i-1:��� <br /> , � ` a �( �% �r r <br /> .. . <br /> ��ork Completed..l.'�.........�1...." ...[............... ......_............................... <br /> Foreman <br />