Laserfiche WebLink
S.1.Priebe�M7-163�55//�r7 . ' � � � � <br /> W.D.Porm J f �� , <br /> CITY OF EVERETT--Water Dept. <br /> Appl;cation No....L.L.I...L..{�... Date........._............+...'5�..��.........19:7_.� <br /> � �nstalL:........���,�...........incli w er service pipe <br /> For ........_�:�.�:::1��.....>:-:J:'.�:��.:P..:.. ' � '�--'---.................. .. <br /> p ................. . ... <br /> On ..........�..1.._�..�........c.:�l_j�:�:.:C.:s.:::::�-�,.�,_ .. Street <br /> Lot...........�-v-._/•...................................... Block No..................................... <br /> Addition ...........�.�..`..4�..........f...........c,..c..`...:.............I.._('..�.rV <br /> Remarks .................. ......:.�........._.r.;:.....�-...:::...:...:....r.....:....:..._�.....-----•-• "—+ <br /> ................................................................. .......................................................... <br /> .................................................................�- �--�--.......................-•-�---................... <br /> ....................................................c..0:�.......... .........................._.... .....�.7......... <br /> r / �(y�. � <br /> ................... .......................1._�,........��r�.;�:-�..............J�................. �. <br /> � I i 95� J%" super;nte�aerye <br /> _ • � C.l <br /> `�' �"'LABOR AND AiATERIAL D9ED <br /> No. _I �-Size . ` --- <br /> .._..................................................� Lead Connection Complele <br /> ...... ..............._.... <br /> ..........................i Saddle Complete <br /> ......................ft.. .............................................. .....................Pipe <br /> .......................... <br /> .. _................................................. Servicc Cock <br /> .................................:.................... Scrvicc Box <br /> -- No. Hours Labor..............................................Cost.................................................... <br /> Cul in.........._.......Favement....................X.................. ........................Sq.Ft. <br /> ..... <br /> ....................X... .................... �� <br /> ......_............... <br /> ....................X........................ ,� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> , Total ..................._...Sq.Ft. <br /> --- ---—�--, -s -- _—. —, <br /> Remarks..L.� � .!' %! , ; , <br /> ...... ...... . ..........�....::................................................................ <br /> �' . , <br /> ....................................................................................................................... <br /> ................... ................................................................................................... <br /> Order R�cFived................................... ............................. <br /> . ...._ .. . <br /> :, �. .. ,. r -. ... <br /> ... .. <br /> \'vork Completed..::......:...�t.....'..�'......................:%.t.:�.1.. ..�:...'�!:...1,.... <br /> Foreman <br />