Laserfiche WebLink
5 J.PriebHM7.4639r'S �/ �� � �!� [� <br />W. D. Fom ) <br />CITY OF EVERETT--Water Dept. <br />/ ; S,, . : ., --r � /�- � <br />,, ; _ <br />Application No...:a:._ ....:......... Date..............._'..`.-:.�.'.:..............:....19...._ <br />�) Install_.._�� . �� mc}�,,vater service pipe <br />/�,{� ��---._........' . <br />i�or l�. `�v .'%� _,i..-q_— t r.., l <br />......... . . ...............`..................,.....7... .........:... ;: ...,... .... ......................... <br />Ou ....................:. �.:�5? ..�...----�....�� ..h.�! :::t..::_-t.�..,.,,, Street <br />Lot.................................�--....................... Block No...................................._ <br />Addition ......... . <br />....... .................... <br />Remarl� �–��–'���..r. <br />.......... ............. ......... <br />�i <br />....+....... j� �...� ...... .............................. <br />` 1' ,....c�-.� t.�� , <br />crc_,� <br />� • �� - <br />a ' . � 2 t�,�� <br />,1.t;:�.� ..................................:r._..... ..--- ........................ ........................... <br />�, � uperiute^.d^.nt <br />, . Me,f „'� ' ' � ��<..-) <br />—�—_ — <br />�, � ,�;� ., L�\BOR AND MATERiAL U9ED <br />.�.. Lead Conn�ction Completc <br />,... Sadd:e Com ete <br />._. _.......�.f1..:. :�.: :'.P:2G...._ .......................PiPe <br />. Scrvice Co � <br />.... Se�vicc Box rn _ / . <br />_... C.:../>?.�.�.�x/.l.:LC.....1.._�:}_�3..CrJk....C:.i:�.�.':>L.�v.._:.r............... <br />.... ...��_£`.:.�9..�G.S::Y.�....:�.�._...�:t..� �'.�..'_..._��J..:.�f ...:........... <br />� <br />n <br />No. Hours Labor ........................................._K.Cost..../..�:� <br />Cut in..._....�..........Pavemenl_.......,2.�{..�..Y..:i� .............. <br />' ....................X......... .............. <br />. . ( � ,:l. A � il ................X........................ <br />J�� �� X <br />i� <br />...................:::..Sq. Ft. <br />�� ,�, ........._ ......... ....................... ......._............... <br />� Total ................_.f...5q. Ft. <br />--�� ------- <br />– ---- <br />Rem2rks....... .......................................__.............................................. _..... <br />_...... _ ........... .._.._. <br />Order lieccived............_ ......................__. <br />\� ork Cnn�plcicd......_....._ ....................... <br />........ ............... � <br />Foreman <br />