Laserfiche WebLink
:- <br /> S.J.Prieba��7 29�1" • ' y� <br /> W.D.Form) �I ��� ` ' ��.5 � <br /> CITY OF EVERETT--Water Dept. <br /> �6'� <�' , <br /> Application No..�.�...:............ Dat ..........................:.---_A.�..�.......19J� <br /> -� Install........t:��,.�........inch wat r service pipe <br /> , � -' <br /> For ..�:'?!�i��J:r,�.._..:+...dc:t::=.�..:....:...�._:.-.5:::�_..R-� ... <br /> ...... .. ......... ---••- <br /> �, <br /> On ........: ...;:.:�.....,../.Ci�.......,::�a�-a::::'::.::.:._�5...................... Street <br /> Lot........:��..L�...._5.....:�..7....................... Block No.......5...,1..15........---- <br /> Addition .............................................<.....................................................--�-�- <br /> � F,emarks ........�.�:..:!,:.1�-:.........'.•_��:`.-:.:.:s..=�^--............................ <br /> ...................................................................................................�--��-----...........--- <br /> ......................................................�.................................................-----............. <br /> i . <br /> '� 1 <br /> ...................................................:...... .....t--... .....................r........ ..._... � <br /> . ..... <br /> ,,�. ,1 n ::,�i <br /> ...........................................4. .,c:. �::'� ' �� � ...a_� <br /> . ........ ... ....."....... ;. <br /> I � ' p int�dent <br /> l.� �� ;� � "� <br /> � ................Su er . . <br /> — - � <br /> LABOR :K MATEAIAL IISSD <br /> No. Size <br /> ----- —--- - <br /> ......................................................i Lend Connection Complete <br /> . � Saddle Completc <br /> ..................................................... <br /> r � <br /> ...........,�..�....ft..........��f.........._. .L..���(�UL...............................................Pipe <br /> ...............1............Fit................. Se�'i 1 e Cock <br /> ...................................................... SCYVICC B08 <br /> No. Hours I.abor..............................................Cost.................................................... <br /> Cutin...._........._...PavemcnL...................X........................ ........................Sq.Ft. <br /> ....................X........................ �, <br /> ........................ <br /> • �, <br /> ..................... ........................ ........................ <br /> , ....................X........................ ........................ .� <br /> Total ........................Sq.Ft. <br /> ---------- ---' ---- -- — <br /> � / . � <br /> Re��tarks........................� ' /.... .........:_ ..........,.............. . <br /> .. _........:.... rl...,.. <br /> ,�...., �.: , J'<< � � , <br /> .................................:,........._-........................................................... ........ <br /> • . , ., , <br /> ...........................................................................................:............:.:.............. <br /> OrdeiReceie-d.............. ---................._..................................---.............� <br /> i, <br /> l�'c:l: Completeci..._5 ' ' <br /> :::.:...._............................................................... <br /> . Forem• <br />