|
LJ..qll[\C^MI ��� �� . ..• ,.•-•.
<br /> w. Ix IOIIM ] � � �" �
<br /> C Y OF EVERETT�XTater Dept.
<br /> � ,._ ' _
<br /> Application No..::�.:`''_=:?, , Date....��,/:%= �-
<br /> . .........-��--....._.79.:�-
<br /> 7nstall..._._?;,,,,,,,,,,,,,,,,,inch water service pipe
<br /> For .......................................................�..._..........._........................................
<br /> � . .
<br /> �, � = a �..—�_
<br /> On .................�-............_.._..._...................%�.,n.......:........................ street
<br /> Let..................._....._��-�.............••---...._ Block No......__.�.-•----•---.......
<br /> Addition "- �
<br /> ..............�/�.....:..................
<br /> ........ . .........................................
<br /> 1 ..
<br /> F,emarks ...................�-....i.�, .:- . : , _ ,,
<br /> ................................:.....
<br /> 1 �--... ...._.................
<br /> �:",.�............................................................................................_.......................
<br /> G�.�:::::�:::::::::::::::::�::::�::_::::::::::::::::::::::::::�:::-�-���::���:�_�::::::_:::::::::::::::::::
<br /> ..�... .....:..........:. �........ ,..���.. .�_ . .
<br /> ..._. .............
<br /> _.., .u::......_�:_...._......
<br /> ,�j Superintendent
<br /> _ /' %
<br /> LABOR. AND MATERW. 9ED
<br /> No. Size �
<br /> ..........................................._......... Lead Connection Complete
<br /> ..................._.._............................. Saddle Complete
<br /> .................._...ft............................ ........................................................................Pipe
<br /> ...................................................... Scrvice Cock
<br /> ...................................................... Servicc Boz
<br /> _................._.
<br /> No. Aours L�bor..............................................COsL.........................._.
<br /> ......................
<br /> Cul in....................Pavement....................X......._............... ........................Sq.Ft.
<br /> �. ,
<br /> : �4�4tif.a ' ....................x..._................... u
<br /> .. . : ......._......_....... u
<br /> �: -.#.,::r." ".
<br /> . , � , . y. ...................
<br /> �;r�.,___._._'.- ._a..,-..._.. ........................ ..........._......_...
<br /> � �
<br /> «^`�AP-p..�,e�a��>'t:.ar. . � ...................X........................ ,�
<br /> . . .t. .,:.,...;,.�._ -.:.,.. ' Total
<br /> -�—_ , ........................Sq.Ft.
<br /> Rcmarks...:t:'.�...:..:..._:::.r.:........:<.:..::._.. ' � _
<br /> � . .. ,
<br /> ........................................................
<br /> .................................................................................................:......_..........
<br /> ............................................................................................:.
<br /> ......:.,._...............--
<br /> Order Peceive3..................................... :�
<br /> .........................._...............................
<br /> \Vorl�_ Completed...::.::.::...:1...:...:. , ,
<br /> ...................................................._............ �
<br /> Foreman /
<br />
|