Laserfiche WebLink
� W.U.Form 3 6.40 �� 7 I � � • <br /> 5.J.Prieba <br /> � �;ITY OF EVERETT--`�X1at�r Dept. <br /> A `�j,7/ i '' ; ,_. . <br /> PP�ication No..----- �---. Date --�-------'==--•---19---- <br /> / %_ <br /> Inseall.______�___. .__.__inch water service pipe <br /> � ; <. ..� <br /> / / ,-" ,>_.:1..,. .-r <br /> For --'-'-""-"-- - � �- :-r'•'-/-. ,-_ - -'----"-'-- '-".. .. <br /> On ------ '- - ---�--- -------�-------- ------ ----�trcet <br /> -- - --- <br /> Loc.-------�- --------- ----- 131ockNo.--� �j-/- -• ----- <br /> Addition __._. ..__ <br /> -- - --- - - <br /> •-----� i------ �---- <br /> • -- -- - - -- - <br /> Remarks----- - -_�- =--�-��-=- .- --- '-------- -------- <br /> ��-.. .------'-- � ------ �---�------ - � --------------- � -�- <br /> �•L_.".�r�.J <br /> G f/�s�-'- �- ' ------r_.:----------F-------------------------- <br /> �` -- <br /> �, �- �i� ',• _ <br /> � � . <br /> ' ,,��-'•'"-r-;-'- <br /> �---- - • -------- � ----�- ------ <br /> i - '� �s������e„ae�� <br /> /�s%: �. , <br /> LAD02 AND MATL•12IAL USBD <br /> No. Siu - --- --' <br /> --_--__ __—_'—'— '_— -__ <br /> '""""___'_" '_""_""""'"_' Lcad Conncction Complcm <br /> , """'"_""_ '_""'""'"'"_' Saddic Complcce <br /> // .i jn /� <br /> -------�---�c ----��'-- -----� C k ':::----------------..eipc <br /> �.._. <br /> ------ �--- - -------1.'.. s����« o� <br /> ------ --- -- -----� ;--- s�r��«nox <br /> -- <br /> -------�--�--•- -----j.:;----- -C_<.r,l,��k-� -`�--�=`-`-'-_ s'� --•- -- -- <br /> ------- �- - -- ------ �',.-- (�,°`=�---"X���y -n�-_�-.�-_.----_---- <br /> -------- - — — — <br /> — -- — ------- <br /> I/ ,--_ <br /> No. Hours Labor___"___"____'_.7- Cosc.�'��__.__"._""'_'_'_______" <br /> Cutin.""""""'__Pavcmcnc"'""'_"_'X _'__""__""Sy. Ft. <br /> �f� _"_"_"a'_'_._""'"' '"""'____" '� <br /> � /�l� '_""_'_"X"_"_"_""' '_"""_'_""' �� <br /> •�. �J ."""'_'.X.__"'..___'_ �� <br /> � I Totnl ._-'------ -- Sq. F[. <br /> Rcmarks---- '-------- -------------- �- --�- ---- �-�- <br /> -------------- -------- --� ------------- -�----- ----------- <br /> ----- '-------------- �--- ------- --- �---------------------- <br /> Ordcr Reccivcd. _.- -- ------ ---- <br /> -------- -------------- ------ <br /> Work Completn;-, ------- .----- <br /> ---- ---------- ------ �----- <br /> -"Fu m�n <br /> �� <br />