Laserfiche WebLink
/ �'/ � ! . -- % <br /> w. o. roar+ a ^ <br /> ' �:ITY GF EV�RETT--�`��ater Dcp�. <br /> i —� .........19_�. ; <br /> ApPlicztion No.1..._...'_./�.. Date...__........_s._................. <br /> �- , Install.............................j rh water�ervice pipe <br /> For � � , " . C . . . - ' . <br /> ......:.�._._._.....:,...,�..................1.............:.:.< ...:....................................... <br /> On ............��..:._`..--.:..._`1...............:..c.:_.........:G,:,................................. Street <br /> Lot.........................................._ .'............. B1ocY. Na..................................... <br /> �ddition ..._... --.......-.............. .._......._............__..........,.................--.......... <br /> j .. <br /> P,Nmarks ................................_l....i...,:_........:.._.:�...:..:..._:::.............--........ <br /> ................................................................................................ .............. ........ <br /> ........................._-- ..... -.............._......................... ......................_......-- <br /> ...._.......................— ......................................................._....................._... <br /> ..................................... ......... .............. ............ ............................�---....-- <br /> Superintendent - <br /> LABOR /\ND :11ATERIAL USEL <br /> No. i Size I ___ <br /> ------ ------ <br /> ,,,,,,,,,,,,,,,,,,,,,,,,_,,...........-�Lcad Connection Complete <br /> ..............................._.........._........J Saddle Complctc <br /> ..._..................ft.l__.........._........... _........._........................................_.._........_.Pipe <br /> ................................_................._ Scrvicc Cock <br /> .........................................._..........� Service Box <br /> .................................................... <br /> ...........� ..............._.................................................................. ._................_.._. <br /> No. Aou��s Labor..............................................Cost.................................................... <br /> Culin...............__.Pavemenl......_...........X........................ ._....................�q.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ....................... <br /> ......_._........:X........................ ......_................ ,� <br /> Total . ........._.._.....Sa.Ft. <br /> --- ----------_ <br />