Laserfiche WebLink
S J.P�ie6e�:A'1���� 4` y�+ • <br /> W.U.,?orm: <br /> C:ITY OF EVERETT--Wate.r Dept. <br /> .. � �,, ; �' r; � <br /> l��plication NoC..'.:.`:--�.... ` Date...,::�:'.t:.-.....-�---.........19.f:.� <br /> Install................._�_'.......incY, water service pipe <br /> � <br /> or ...............................................................__�................_:::...:..................--- <br /> ,� , :" <br /> � i . —_ <br /> ' . <br /> . <br /> On ......�..�...-:.`'.....,�:%:......�..._�::.::..=:..i::..:.....1::.:_...:...:...... Street <br /> ,; ,1 <br /> Lot....:.........�'..._..........._:._. Bloc�Na....rA..._,�.................-- <br /> �.................... <br /> .�ddition . r .r_r ,.r � .._ `• r <br /> ......... --�.. :'...:.... _.........................._...:.............._................ <br /> Femarks -- -........ -1--....--....... -..__.............. -...._................- ....... <br /> _..........--.....----- -......................................--..._.........................._-.....---- <br /> _........................ .-- ..... - ........._ ... ...._....._.....- --..............---......._ .... <br /> ......._....._............._........._........................--{?..._c..........:---................................ <br /> ;/ i� =-� , , . . <br /> ..... .......--............................................... .:�.!-..��: �.:............_`:.:................... <br /> � � Superintendent <br /> _ <br /> LABOR AND MATEAIAL USED <br /> No Size ' __ _ ' <br /> -'— - <br /> ........._......................................._I Lcad Connection Co:nplete <br /> ........_..._.................................. 5 ad d]e.Co mplete <br /> ,� ' . 9� ;(�� �U- <br /> r�.�....>t.............y .i ..............._.�'.�................... ..........................PiPe <br /> ..... ... .. ...��.......... . <br /> ........._. � ..._......... �f..... Sc�i€c�Cock <br /> ; ' � �� � .... Servir.e Box <br /> ......._... ......�,_.....,....._...... / <br /> :�- ; . -LLyi.<..r-K. �� ��i7, ���� <br /> 3 , `" <br /> ....._ _ _ . .,........J.y............. .....�. _..... ...,................... .......... ... .... ................................ <br /> ........... � <br /> , 3 � i � n / <br /> .... <br /> ' ::::._ i�..y'rb:�_�..,..... ....?!.�1.?^.:�......).?.:4.:1a:':_.['`.:.:................._........................................... <br /> � � �i .� 1 <br /> ..._. 1..............�..'�i./...j..L.c._.... ..................._..... .......................................................................... <br /> �... <br /> : v 'i -4'2t :. d <br /> ' .....ELCc......_</:,:-..._............._.. <br /> - ......i ..................... .................................... <br /> ...... .......�........ ....._....;�. .. <br /> No. Hours L..'.,�r.............. �f� �J . <br /> ........._....._�:..Cost...f:......./................................... <br /> Cutin_...._... ..PavemcnL......_...........X..................._... ......................_Sq.FI. <br /> ! ....................X........................ ........................ �� <br /> �I , ��.,1 � �� ...................X...__................. ......................_ �� <br /> � ��;�'�,:-�� ' " �.� ....................X.._.................... �� <br /> ........"_".......... <br /> ' '�' � Tota. ........................Sq.Ft. <br /> _----'�'--�---�-------- ---- <br /> Rernarks............ -..................................--.....................__ --- ............._...... <br /> __.. ._........_._.._._......................_..................................--- -............................ <br /> ___..._.........._...............................--........................-----.............. .............. <br /> Orcer Rcceived....................................---...._....._..............------......... .......... <br /> �"o:k Completed.._................................................................_........... ...... <br /> Forem <br />