Laserfiche WebLink
J <br /> _ . - / 6 ! 3 ! - - � . �, ; <br /> w, o. ra�� � <br /> CITY OF EVERETT--Water Dept. <br /> ............ ' <br /> Application No�::..:�..:'� Date...............:.%....!.� ...19.b:...�/ <br /> 7nstall....:.:s,.:.:................inch water service pipe <br /> -� � ..---.... <br /> � <br /> For .:......�...�..:..................at.�.:..........;x..�...._.,....�..L...»._............ <br /> � (_, � � � <br /> '� �../...�..............�::...........:._.r:�:_F.:..::.:�..r��Street <br /> On .......................�......_ <br /> Lot.............................................................. Block No..................................... <br /> Addition ......................................................................................................... <br /> Remarks i_.�..t.i.�r.;;--�:xw.�..c:.��.....,..::.<:..t:.:�r..i.i......_:.�.::,,.:�./ <br /> , �.... y. ,� <br /> � . .............. <br /> ......�,....�......�............................................. f-:.(......�. <br /> ✓ �o, .y L• J�"---'--..__---................... <br /> ....................`.....................::a.(... .........t...'/ ... . .. _ .c. <br /> ............. . <br /> ��e �� � 1 / <br /> � " `� CC.f../f..L_. :. .: <br /> • ...................................................... <br /> ........._.....:.....:a .. . - .�:.r <br /> . � � �.=.. .._,�::.._...........�i.::�:.... <br /> .� <br /> �q' r " _-.l..:E..�`- <br /> . ...... ............... ....................... . / SuPerintendent <br /> ..?.....r).�-.. . , . <br /> i ' � ' <br /> � <br /> �� LABOR AND MATERIAI. USED <br /> No. .......Size... � — <br /> . 1_. �Lead Connection Complete <br /> . Saddle Complete <br /> .................../................................. <br /> /...ft.............:.............. ........................................................................PiPe <br /> ................... <br /> ...................................................... Scrvice Cock <br /> ........................... <br /> ................:......... Secvice Boz - <br /> No. Fiours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ ......._............... <br /> ,� <br /> , . ,� <br /> � ....................X........................ ........................ <br /> � X........................ ........................ �� <br /> ...................Total <br /> ........................Sq.Ft. <br /> ------ — <br /> i. _. <br /> Remarks...:::.....:..:.............................................................................................. <br /> ...............:.................................................................................................... <br /> ....................:...........:.......:.............................................................................. <br /> OrderReceived............................................................................................... <br /> � Foreman <br /> 'tVork Completed.......:..............................................::.::........ <br />