|
$.1.Priebe4h�9� � � . • • .
<br /> N.D.Form 7
<br /> CITY UF EVERETT--Water Dept.
<br /> , , .
<br /> � , . ` y ,./ ,
<br /> Applicatioa No.�'..�.'�-!-�.. Date......_.....�........::...�..................19..---
<br /> � �� .
<br /> Inst 11......:':�L�....:...........mch water service pipe
<br /> � , ,� or.:.-
<br /> , . ' ,;t '....:----_.....:_.::...............................
<br /> '� ' �-�-^�- . .f_..
<br /> FOL' "_....."'""""..._:...........U. 'C._...
<br /> f' ' ''� Street
<br /> ...---...�_.
<br /> On ..............�.-� ��....__..:.J...c!�..�.._::_...: . `.�.--`/..
<br /> Lot...._.......... --�����' ................... ....... Block No........-�-::--........----..._
<br /> .�ddition ----.._ / ' j"
<br /> .........................
<br /> . _....._-� .......... .................
<br /> / .:......: ' ' ' , • " - ....,:..
<br /> • - . • � � .......��...?...:......_..�'.
<br /> ;�.emari.s ' ....:.... -.. ..............
<br /> ..........:.. / '' /......_...................--
<br /> ......c................--............/.. j ......_'-�,-_
<br /> __.....--" /.,..'......-.,' /
<br /> - . ,�, , , . . , . -........................
<br /> �
<br /> .._..........� ..-._.......................-.................._y-....._.........---��--
<br /> ;, .........::........_---......_..-"----•--'-
<br /> .-. -................._l..._ /
<br /> ._ .........'. 1................................. J ;
<br /> i � / , � .; .
<br /> ......... ..................... ...
<br /> <.�.. ... .._.
<br /> /� - ""� , j ' 1 Sppermtcndent --�--
<br /> ._!L-- �. '_��� I � ,/� �r I /� � �'!� _
<br /> _ . .—r=��.—�_— i '-
<br /> j'� ' - LABOR AND IIAT�RI3L US�D � -
<br /> �_
<br /> Nu. I Size � � __ --
<br /> -� --- ... ......,,_X..(_....._I_
<br /> � I.cad Connection Complete
<br /> ...___..._'..._... . .
<br /> St....../...........�....._ SadtileComplete
<br /> :._ ✓ ...... �
<br /> ........................... . ,
<br /> .� � x r'
<br /> ' ,.
<br /> .........�........�.:...�.:...........................................r 1
<br /> ._......a....�....... ., �
<br /> " �� � EiCCNCB COC
<br /> ._._.._�..................:.................
<br /> I �./. :p njj..�.. c .. .
<br /> V
<br /> ...._....�.:�. VICC BOX r �/�.
<br /> .......... ..Cl' .
<br /> _....................... - . � .
<br /> � 3 ` .', t,� ., ,� , /,. .�.� : ..:._.._.........................
<br /> .,�
<br /> I , , ( ......�rI............._.............,._..... ._...... _ ,
<br /> _...... .... ...,.....,.......... .. . � . ,-. ..i , �,-
<br /> ..I.. ....._ � . .. .L�-..3.`.._:. .................�........._� . :.�:L..�..(1............................._._......
<br /> .. . ...... ..
<br /> _......_...._........._.I......_...._'.'...... �.................�_....... .._...................... ... ... .._..•......._•........... _........
<br /> — I _ . � (Ta
<br /> �': .
<br /> , ...._.:.......COS�...I':.:............................/�._.........
<br /> Cut mu`.5._L.�..orPavement..........�c.::i..�..X...::.�_.�............ ......................:.Sq.Ft.
<br /> I ...................X........................ ........................ «
<br /> � r� X........................ ........................ ��
<br /> . ....................
<br /> � � �. �,� �. . X...._.................. ..._..........._......
<br /> ....................
<br /> %� � 1`° I� Total ..................��.._Sy.Ft.
<br /> _---------
<br /> P,�rlarks ......._..........................- - .............................._......_.......................
<br /> ii^
<br /> �_�i._.S.I.G��.................._............................................ - ................__.......
<br /> ��.� 7 . i�;
<br /> .::;.i.:.,[.-_.:.r........_...........................................................-........
<br /> Order received......_....................._..........._......_.,Jt....t�.'............ ..........
<br /> "ork Completed.�.-.......' � � .� �..C....tr..,,..t�cr�y-.....
<br /> / • f /
<br /> . F............ . ........... p
<br /> � Fo:em;�n
<br /> /
<br />
|