Laserfiche WebLink
s �.,r.��ne�M r.�az�� � g + ` . '� , <br /> N...1 Porm d. ' r <br /> ' CITY OF EVERETT--\�Uater Dept. <br /> r�) � ;', ; , <br /> Application DIo.....�..�...b....... Date..................................:..:..:......19.�... <br /> ; j Install........_�1.��-....��»>C b �'ater service pipe <br /> , / . . . .................. ...... <br /> �-,' , � I tii.1..................... -•- <br /> Fo: ..............:_..........._ � , ��c---....---.. <br /> �� .- <br /> Cr. .................�>:..�-..J�._�..X_:.<..::a�_(........:................................. Street <br /> Lot............ ..........................--................... Block No........-�-----...............---- <br /> Additimt .............._::�.................................._..._....�r.,�,...,e................................. <br /> ' `��._�.._......._�f}..i�.a:::_.%'._`--.-'_ • <br /> liemar ...........1�:1.3._:.c..t.e..IV..A<. `................ <br /> , <br /> , , , .� , <br /> I ,�7 1 �;J.n w' .r............... <br /> ..�:V.v��....�:Y..'....._::..,..._... .../........r................ . . <br /> ........ .- . <br /> (� <br /> , ' •-"""....... <br /> .......... .......................................""-............................................."'..._. <br /> � <br /> .. .................. ......._."' , <br /> _', <br /> ............................................. . .� <br /> _............ , � , �,: <br /> t�................. a.._ rt;t. . , <br /> � ...... ....!..............a......................�. ' . <br /> �q ..... ..-�. . <br /> ............. ............ ......... . <br /> �-v, l' � (� I � �j S� crinlenden� <br /> � a� �' � �� <br /> '"� • i� �R P..ND MATERIAL USED <br /> r..•; <br /> r <br /> - -N°-=-�- , _-�' ---- <br /> . -,_. <br /> � � + I Lead Connection Complete <br /> ............................:........._.._.... . <br /> .._�-.'.:.:.�'.......� :,addlc Complete <br /> ......................... , <br /> .......................ft............................ .......................................................................P�pe <br /> ........................................... <br /> ........... �^�vicc Cock <br /> ...................................................... Scrvice Bnx <br /> . ... <br /> N��. ?iuurs Lcboc......._.....................................Cost................................................ . <br /> CLtin....................Yavemcnt....................X........................ ........................Sq.Ft. <br /> ....................X..---................... ........................ <br /> �, <br /> , ,� <br /> .....................1........................ ....................... <br /> ....................X........................ ........................ <br /> �. <br /> Total ........................Sq.Ft. <br /> � - <br /> '--- - ------ .-� , . -_- <br /> -- — . -. <br /> T-', � �,(./......i::...:_!..:li:�................. . <br /> .�l.Ir:uP�SS.....�./..� ........................... <br /> ........5.... , <br /> i <br /> ..__.............__.........................1.............._............................. .....................'.'...... <br /> .. t........:...........: <br /> .iC. ' ....;.. /. <br /> . ........................................................ . •--............ <br /> ............ . ' <br /> , , <br /> Order P,eceived.........................................!��-f��� J l.i...: .t......._......... � <br /> / 7 — 'j '�/ <br /> • . ......... ................... ........................... <br /> `.�orl: Comp,cledr...t. ........�[..r:.�.. <br /> Foreman <br />