Laserfiche WebLink
0. d�PNl�s[ �M/� / � � ' /� �^� /7 <br />W. 1). f011M ] � / <br />CITY UF EVERETT-.Water Dept. � <br />j,. �'� . . � ���. �� l-� <br />Application No..�.:: �.�...�. D�te.....�.�::s� :::...................... � <br />•._ ,� <br />. . - - - . 19...... <br />;-, Install.........J. : f�.�.,_,,..,,,_ .�rh water service pipe <br />c�., --- <br />For .................. : ...'.'..::? � � .e n , .T <br />_ fr........� :..........:... .:..` .. ' <br />' <br />..... . ........ .. ............ . . <br />. , / � � . .... ........ <br />O71 ........._ .>. :...c:.'..: .�"'.... ry. .'_f'!_!."!.. �"t.'.z..:.(....�J...t: .:-......... .S�lEEi <br />LOL�...r„I.1/ .....4� . �0 I <br />................................. Bloc'7c No.........-�-•-•---................... <br />Rddition 1 ......................�..: <br />...................................................................... <br />...... <br />emarks ______ <br />�.mv�c ,uvu MATERIAL Q9ED <br />_ Nu. Size <br />........................... ......................... <br />............................ ................ <br />r•..„ �. <br />...:�.......�..._..SL...._ _�. �....._S: .. <br />� f... <br />...................................cr.. ......... <br />: � �' <br />......_../.. ....y ..I. �.:. ....._,.':;1....; . <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />------ ... ................................................. <br />� .............................. ................... <br />No. Hours Labor ......................... ........Cost............................................. <br />........... . <br />..... <br />ut in ....................Pavement....................X........................ <br />........................Sq. Ft. <br />...................X....................... �� <br />....... _ ............... <br />....................:{........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />Total __ ...................Sq. Ft. <br />– --- <br />Remarks.......................................................... <br />................................................... <br />_ . .................... - <br />Order Receiced.......... <br />\Vork Completed....... <br />..._....._.._ ......................Forem.aA - <br />�/ <br />