Laserfiche WebLink
� � , �,-- <br />w. o. ronw , <br />� G �- '` `. <br />� �CITY OF EVERETT--Water Dept. <br />Application No...�%/.T�-' Date........_;:a.::.._.f...�..........--....19..(1•i <br />Install....._. �_"........._ .irch water service pipe <br />For.......... ...................................................._._._....... <br />..................... .. . <br />� � <br />On ..........._�z../..!'�:S?........._��:-r<—{;%�............_......._....._ Street <br />LoL...l.. ;?....:-.._�...7..........----...._..... Blnck No...._.?....�e.... d ................ <br />Adclition...............................-=..................... 1.. . <br />� � �� G�� ............................ <br />Remarks...`�....._�.......��_�LS::.:':.......~-..� ...._...-- .......................... <br />................................�- .............................. .. ........................................_.. <br />' ........................ <br />��.�y..�r -=ii ............._......................_-----...................... <br />_ _ .. ...:........._........ .......... ............. <br />i1 6 {.. a''�.�C�.... .."'.' .............................."" <br />_......� � �• , , • - <br />.. .... _....../?F:f.: �.... ,� .�; ' �' �.-: �-. <br />.....................'/ .,,a.... :L.C-t�.......:.........,/ <br />�'l Su�erintendent <br />-�^--------. �.0 - t � �/�`n <br />LABOR AI�D MATFRIAL USED <br />Na i Size � <br />................................................. .i Lead Connection Completc <br />..__ ..............................._...............I S:�ddle Complete <br />.......................f t. ........................... .................. _........................ _............ <br />._ ........................ _........................ Scrvice Cock <br />...................................................... Servicc Box <br />No. Eiours Labor ..............................................Cost............. <br />Cut ia..... _...........Pavenunt ....................X........................ <br />.................... X........................ <br />.................... X........................ <br />........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />— _ ____ <br />Tn W I ........................Sq. Ft. <br />Remarks ........................................._ — <br />.................................... .............................. <br />OrderReceiced ..............................................................................................' � <br />\Vork Completed .......................__......._......._......__.....__...... _...._.... <br />IPurem:m <br />