Laserfiche WebLink
w. o.rrowr+ s�� � � � � . . .-� � <br /> CITY OF EVERETT--Wate.r �ept. <br /> Applicatiun No..�.::........._..:.. Date.......::............... .....................19..._ <br /> �, lnstall...........:':........'.........inch water se^vice pipe <br /> ...: —-._..._?......:................................. <br /> For .... ..:.:.:...............:. <br /> ................:....... <br /> , -, �, ..---...... Street <br /> On ......_.:.........................:.'. ......:..................................._....... <br /> Lot.........:.::.....::....:----�=:._:....:.::............;.Block No.......:_.----....::..............-- <br /> A�idition r .. . . , — '.....:...1........................................... <br /> ........::..:......:._:.[...:..... <br /> ...�.�.....,..:... <br /> Remarks , � ........T.................------................_--�-- <br /> ..--..... .........`.......----�-�� <br /> , <br /> , � <br /> -.7.::....�....�...._.._....--'---'-'........................................._--...----..... <br /> ........--'•.................................................................'---...........................""'...-'-....... <br /> . . . ....................:.................................. <br /> �........................................ ............_'--........_.. _ <br /> ; <br /> ( <br /> i � :.� � .....!.............................._.........---'.................. <br /> ..:.....-......................�.:::.........---'-' SuPerintender.t <br /> � � �` �� _— — <br /> � <br /> C ;' <br /> � "��- L2BOR AND hihTERIAL USED <br /> No. Size _ <br /> _-� <br /> ..:........:...�.i. Lead Connection Complete <br /> .........................................�� <br /> .................................._: <br /> :_:.._�_ Saddlc Complete <br /> , . , ; ,., ,�.......:............................................Pipe <br /> ..............�......ft............:.:............. .............:...... <br /> ., . . ,. <br /> ...................r. <br /> ............................... bervice ..oc <br /> ........................:... <br /> ........._.....:......... Scr:ice Box <br /> No. Aours I.abor..............................................Cost............................................... <br /> .. <br /> Cut in....................Pavement....................X........._.............. <br /> ........................59.Ft. <br /> J� � ....X........................ ........................ �� <br /> � ................ <br /> .:'%/� � . ..i> ll :�f" ....._................. a <br /> C. . _.._.........._X..._.................. <br /> ....................X........................ <br /> ........................ u <br /> Tota] �.......................Sq.Ft. <br /> =--- -----�--- , " '-- <br /> .....G....:. � <br /> Remark:.............................. '1 ,_. :.:...:l:c.�:s:�.:.�:!.................................... <br /> 1 ! l /� <br /> `......1LL...._.p.rL�.0 C...._............."_".................- <br /> ... ................................................... <br /> _...........................................�...<�:��:��:::....................- --........--..... <br /> . - ...... <br /> OrderReceived. � ................................................. �.1................ <br /> - .�' r' . =�.i. -').:.r.�..r.._........... .. <br /> \Vork Completed...�..�.°...:: :'...!................:...... . .. Foreman <br /> ` � � �'�;:7i4��:. <br /> X i <br /> .�. / <br />