|
S.J.Pria6NM7A629i.5/6 � 7 � �..✓
<br /> W.D.Porm!
<br /> CYTY �OF EVERETT--Water Dept.
<br /> / ,:; / , ' / -
<br /> Applicatiai No...f.<^.:....�.. �ate..........:..:._?:.:.:..,......�/.. /� �
<br /> n , , . 19...:.. =>
<br /> Install........=:�.�............:.u�ch water service pipe
<br /> For ........��:::...::...�..1�' ...�...!_�%.s:.?:'r.:..._..........................
<br /> ........
<br /> ' � ;; � '
<br /> On ......................._.......... ....._�:....:.�.::.:.!..t:.../..............----.�.7...J.'..... Street
<br /> Lot...................:.'.r.............. ....................... Block No......��..1../...(;
<br /> ...................
<br /> 9duitimi .............. ..........................................__...............
<br /> Remar]• . , , . ,� � � .......................
<br /> .s .......... .1•-::.._1.....:_tl.::.[.:._..:.......:._.�:..:: . . � ,;�f_...........
<br /> ..._....�.
<br /> ....................
<br /> .��. .........,./.........��.........i�r,..........��,,.:/. ...��..................
<br /> ................. ............... .: .........�.�..::............. Y
<br /> _ . ..................:.
<br /> �f''. ... ......................._...
<br /> ��s- ........................... �' :
<br /> • .D_t3..... .......... ... ..z.
<br /> ,, , �
<br /> ,,,�� ....:�.... . �...^............ ......................1..�......._ ' .... . .!./:-../....-----..
<br /> : ,
<br /> ,
<br /> � � / - ::.:........... ...�
<br /> :,,........._._L.-----
<br /> _'. '�t � ;,,� r/ -�j �// l�, , (� S perintendenty .
<br /> — � " i ,; . , ,/ r-,;
<br /> • ���!� � LABOR AND MATERIAL OSSD � j
<br /> _ -.No: _X Size
<br /> :�:��-�������-.;-'.�:�:���������...............I Lead Connection Complete
<br /> ( �i� k �. , Saddlr. Com lete
<br /> ��................. P
<br /> i
<br /> ..............(......ft,........._�/-�fu...l Scrvi c,/Cack''/:�:�,T�:F.�.........................Pipc
<br /> _�
<br /> ....................... .......-... ,
<br /> .....................................j.............. Scrvicc Box ' -
<br /> �
<br /> � '� i �-
<br /> ...................................:�..�_......_. .....�..A�./.?... .zC:..Y.r.......1._rri /J_��-t r.i r �.-, "
<br /> _.........1.........................3.
<br /> �
<br /> , , �...................�............................._.
<br /> f . -�.....,�............ � �
<br /> ...........� �......
<br /> , . .. ��:�........_,..:....... .
<br /> �...... ;r ....._..._....
<br /> _.. ............................................ ..............
<br /> ti.�.........,�.,... ..l�.......:::............
<br /> � .� , J ......................................._
<br /> ....................... ......................_.. ........0 - L �
<br /> ...........................................................
<br /> ................
<br /> � ¢� f �
<br /> No. Iiours Labor......................................_�....C�t.._r.:�.�..•�................................_...
<br /> Culin..._....._....__.Pevemenl...................X........................ ........................Sq.Ft.
<br /> , j ....................X........................ ........................ ��
<br /> � ��� � X_...................... �,
<br /> ....................
<br /> `7 '/ � <` � , ,�� ........................
<br /> , � .......X....................... „
<br /> ,� .
<br /> _ — ')' .. . ----------- Tolal . ......Sq.Ft.
<br /> ......
<br /> R^mar'r.:;..._............_.................._................
<br /> .................................................
<br /> ........ ................._...._.................................................................._..................
<br /> ............................................................................................................................
<br /> Order ..cceived..........................................._............................._.
<br /> .............
<br /> �'iorl: Conlpleted...._............................................_...........
<br /> ........... ..............
<br /> Foreman
<br />
|