Laserfiche WebLink
�i <br /> • W.D.Form l 10.V I I-10.N • • <br /> CITY OF EVERETT-••Water DePti• <br /> g �5 a/� ��- __._ i9z�..._. <br /> Applitation No. _.. ..... .Z ,/Datc ! -- <br /> � QI�nstall l� . inch warer servicc pipe <br /> For � �. `�"�`^"'""�a'�`''r`r-�_'. .. __ <br /> /� Stteet <br /> pn._._..__L`�'L_� `--0.�'�I� - <br /> Lot........_.............._... _......... ..._ <br /> _Block No..._ _.... ... ........._.._....... . . . <br /> Addidon..........._._......................................_.... . <br /> ........__._.._......._............... <br /> _...... <br /> Remarks....._............................................... <br /> ............. ................................._........... <br /> __ ._ ...-............................................_._..._. ...........__...._.. . <br /> _......_....._... ._................._........ ..............................._.._.._... <br /> ....... <br /> __.................._ <br /> _................... ......_ ........._ ... ._..._ __....... <br /> .�-.:..1_..__.._ .... <br /> ..__...�a—+a-rr <br /> .C .... ��,�d.�� <br /> � - LABOR AND rtATERIAL USED . __ _ . __ <br /> .. --------� <br /> -- <br /> __--- - - ._ . ... .__ <br /> - - i Size ---- -- -. . <br /> No_ <br /> � <br /> --�-- -�-�--- ---— <br /> -- — I-- <br /> � .��I - <br /> �..___,.,.__.,.,.Fy_.-c.hOt! Lead Connection Complr.te <br /> .............L............I..it.�.b........ Snddle QQmPlete <br /> '`' .....................Pipe <br /> .�......ft.�......�.;�.............. ......✓lt.!..!.�............ <br /> ..........,. <br /> ..............i............�......_:r.:.......... Scrvic� Cock <br /> ...._...._l............. L.:./L.C!_ Service Box <br /> ...................._....�......_.............. ........_.�..........��......_....._...�...._.�...._......._............�..._......._......._..�...._.._.�_.. ....�.. <br /> ... ... .... .. <br /> ................ .. <br /> .. . .....__.............� <br /> ........ ........�.....� <br /> .................. � . <br /> No. Houre L¢bor...................:..................Cost................................................... <br /> _ .. <br /> _.........._Pxvement....................X........................ .................._S9. Ft. <br /> Cut ia.............. . �� <br /> ....................%........................ .................... <br /> ....................X........................ ....._.............. <br /> „ <br /> ....................X....................... .� <br /> . lbtal ...._.............Sq. Ft. <br /> — — <br /> —-- --- - <br /> �.-- � - —_—. <br /> .__-_. - - .. <br /> __ `/.�Iyb <br /> .... . <br /> Remnrks. ItiTA4�t�i `.ht; A�� 7( _ ._ <br /> _._... ��Z`O`a 9- Yll�+�c-G _ _...._ <br /> _...._. . ... <br /> __ <br /> � _ <br /> Ocder Received 'ti " <br /> _ __. ... ` <br /> Y�.� L.yu.v�� <br /> Work Complcred f�«,�,� � <br />