Laserfiche WebLink
B. J. PRIfBS 9�p� � � �' - <br /> W. O. YOPM 3� <br /> CITY OF EVERETT--Water Dept. <br /> �� t� <br /> Application No��......a "'�.. Date....._..`-'.1..-.r_- ...��.-•::-•---.19.`� � � <br /> ..... <br /> ii <br /> ;�� , In�u..,�/..................�.inah;Hater service,pipe <br /> . � . <br /> For � . : r _r e• ��( �',/+fr,Pn_�- r� , ,s,?s� � -� <br /> . ._:.........�....... ......... ... ......k`..._..�.r....:T ./....'_"_""-"" <br /> , /� lr.........._--- _ � t I / <br /> Cn ...............�f�'..�.�-�---��-t=:.�..�:.'..r::�!.t:......_'•:r.:.�_'.:1....:..-Street <br /> Lot........................................................._... Block No......._..---................---..... <br /> Addition .......................................................................................................... <br /> Remarks .................-....................---................................--..........--�--•---......_ <br /> ................................... .............................................._....................-----.......---- <br /> .............. .� .... - -- <br /> .............................................................................................. <br /> � � L � <br /> �..r .. ... ' '......_. . . ..... .......}._...� <br /> .. �......._... <br /> . <br /> .. '..1..?�/7� ...............� ��� :-r , �. .c� <br /> ..- -•----......_- <br /> . ......... .........-•................... ........... ,..-�-----............---......-------..... <br /> +�:�/,� Superintendent <br /> i i ��7"" <br /> I.ABOR AND MATEftIAL USED <br /> i7o. Size i <br /> .... ............................................I Lcad Connection Complete -- <br /> ...................................................... �addlc Completc <br /> .......................ft............................ ........................................................................Pip e <br /> ..................................................... Service Cock <br /> ...................................................... Service Box <br /> ...................."................................ ................................................................................................................ <br /> .....................................................I .........._.................................................................................................... <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cut in....................Pavenunt....................X......._............... ......................_Sq.Ft. <br /> . ..X........................ �� <br /> .............. . ......._............... <br /> ...................X....................... �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Tolal ........................Sq.Ft. <br /> �� T <br /> Remark�---..............................---....._ � <br /> ...........:.................................................................................................�........--- <br /> Order Peceive3................. ----.............. -........._ <br /> ........................................... <br /> \Vork Campleted..........................................................._........................ .. <br /> Forema� <br />