Laserfiche WebLink
- / oor8 . ..-�� _ <br /> w. o. ronw a <br /> CITY OF EVERETT--Water Uept. <br /> Application No.. .._�'.�'.� ' �^- �-�-........19C::.,' <br /> f f Date.......::......................... <br /> i <br /> Install...::.:.:..�............. .inah water service pipe <br /> For ............... ..............._.................,_:. <br /> . . . .. <br /> /�/_� �; �.............................................. <br /> . ..... <br /> On ...........(. l..........................�::�:::�.:':-:................................. Street, <br /> Lot.............................................................. Block No....................---.............. <br /> Addition ..............._./.J..—.............................. ............................................... <br /> Remarks .............._L.�•.-,l..:l.zL..cc[.::`-r.�:��........:._.:.................................. <br /> ...................................� \ � �..:::......:.........--- <br /> /��/--_................ ................1..._..� . <br /> ................................ l� [�-h-n.��c '— � Z.�...: <br /> ........................... ........................._\.......... .......... <br /> . / <br /> ................................................................/.._,�.�.��.s...._4.................. <br /> ....................................................... V..` ....3��:. � . . <br /> . .... .P....... ... .." <br /> ' -"' <br /> /�/!�7 Su erig� ndent <br /> ���� � <br /> — -----_ . �-'_ . <br /> LABOA AND MATERIAL USED <br /> No. ' Size � � <br /> .... ............................................�Lcad Connection Complete . <br /> ..._...... . .. ....�............. Saddle Compleie <br /> ........��ft............ .�r. ......... ........... ..... . . .. . Pi c <br /> ............ {�����_�i�t,,,�.................. p <br /> .....................................�.......... Scrvicc Cock <br /> ...................................................... Service Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavemenl....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> � ....................X........................ �, <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> -- ---------- . — <br /> ,.. —. <br /> � ....:::� ._ <br /> Remarks...,_':...._C:.,'...i..:.%':�. � ,�,� : ; <br /> ..,.... _...... �...._...r.................. .................. <br /> ..... <br /> 7 � . .� i� !�. � . , . � � �. <br /> . � . . : .. . ... . � . . . ` , <br /> _.`:?. .(�,? l- /�.......L::::....:..:...:...:..._R:..::....._....�....,-::.1.:.,:...^....:..........:.. <br /> .., . ,... ._.. ... <br /> , <br /> . , .. .. <br /> ...........................................................................................................::_.:_..::.;::.� <br /> OrderReceived........................... ...................................................................� <br /> 1VorkCompleted.......:..............:......................................_.......................... <br /> Foremayr <br /> l <br />