Laserfiche WebLink
4 J.. PRI[ClM��� � Q � . ` - / ,' <br />W.-�. ��p� � I Y OF EVERETT--Water Dept. <br />Application No......l�.Cf..�� Date .. './................._a<-•:•-::5.......19...J.`..`� <br />Install.......... _`.� ..X.......inch �w ter service pipe <br />For ... %�;e;.`..:`:..{.��s.v ..% ..,.:.'....p.... . . ....... �T.C:..�......_.................. <br />On .............�..._��'�`�•-----................----�--....._ Street <br />2`=;•� L <br />Lot...................:...--..::-..---................._....... Block No............_....................... <br />Addition..................._.............................................. ............ ....................... <br />. � <br />�—,'n� ' � . <br />Pemarks ...........�%:7:a��-�-'-J�—_..^s..g.�a�1 .............`�...---�.............. <br />......."'........."_' ................✓..�'2CL.R-�[..Cr.L..<..�..1....��.� R.. <br />r <br />+............ ......yti. � .................•---....' ^.._. <br />. . ...� ............................. ....------- .......... <br />, i � ........ A� <br />�t <br />LAIIOR AND MATERIAL II3ED <br />Superintendent <br />No. Sixe _I _ <br />.................... .......................... Lcad Connection Complete <br />...................................................... Saddle CompleG� <br />i � � <br />.............1s�i..tt....�l.i�.................. _i..:C�t�l1.r..�........._.__..................................PiPe <br />....................�........... �.ly........... Scrvice Cock <br />..--------- .................................... Service Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X......._............... ........................Sq. Ft. <br />/�� <br />/....................X.....................--- ....................... <br />�� .�,.�•.�..i <br />c.r! ....................X........................ ........................ �� <br />, <br />....................X........................ �� <br />........................ <br />Total .................. Sq. Ft. <br />-�--------- , . — <br />. - . <br />Remarks ...................y%.;l...�.�c-.: �1.n..1 t:c :,...:_,.....!l�..t.....f..u� ! .......... <br />......................................�.1.-l.l.L1.t.:....:1..:.1l.t.C..�.:............................................." <br />OrderPeceived ............................................................../................................. <br />\Varb: Camplcted.:.r.�/fi-.a:y-- .........................._�j.Y%2.�.�.�.s._c......... <br />Foreman <br />