Laserfiche WebLink
} <br />y <br />b'- <br />5]. PriebNM 7-16 2 .S O O � . � �-. <br />W. D. Form I � � � ' <br />ITY OF EVERETT--Water Dept. <br />�� .. � � � `-" _ <br />Application No....._�.. � :��.i Date ...............................: r`...::'.--..19.:.._� <br />Install......._:....... ` .:...........inch water service pipe <br />For ' <br />......................................:......_.....---......:............... -..................----.............. <br />;r �' <br />On.............. .............:.........._......._._........:.:...:..........._....A::.' ........... Street <br />Lot.......................'J.._-....�.�.................. i �, <br />Addition...:....................................... <br />Remarks ...................:...t..._:..:...:.... <br />, �.+, <br />i <br />/}.....( l l ... � �.. `' . f <br />..�: . � <br />� <br />..� ,� �`� - � .:. <br />� t � <br />..1..:� � .. ...:.. � ....� <br />.3` n. � . i .. . ! i- / � <br />.... Block No.........» :. �...� ................ <br />.............................................�........-�-�-- <br />, �, . <br />�...._'� �.. . . � <br />........._ _ . _._.: /.i..... L--. <br />.... _.......... . ...... <br />i . ., , - �`1 ' _ 4 " � . <br />�..............:....... ...... ......._ <br />� I <br />� ....... <br />�,, <br />�. LABOR AND MATERIAL USED <br />Lwd Connection Comptete <br />Sadtile Complete <br />................................................... <br />Servicc Cock <br />Service IIdx <br />...........� ..........................i ............. <br />No. Hours Labor ...................... <br />Cul in ....................Pnvement.... <br />.................... X.. <br />� <br />Sup tendent��• � <br />........................Sq. Ft. <br />........................ �� <br />........................ �� <br />........................ �, <br />Order Received .................................................. . <br />. .................. <br />..... <br />.. .............. <br />�� <br />l',-arlc Completed ....................��...:�....:..J.<Tf�-r.i�.....�............/ <br />^ �j�� Fbreman <br />0 <br />