Laserfiche WebLink
. . , , <br />W. U.Form ) 1000 5-1.18 <br />CITY OF EVERETT-••Water Dept. <br />Application No..__.'��_9 /�.. Dntc__....�/9_ . ..........19�� <br />Instnll. _. __��/ __..._.inch ��•atcr scrvice pipc <br />/� � <br />For._.._. 1 .r--__._._ _�__._......___......._ _ ........._ .............. <br />On.. �0.�-_-_-_-.�.R.O-. _ __---.....__.Street <br />---..._ ........__... ... <br />Loc __ C�..-..�....._._ _. _ _. Block No. ......�. �1.._�J _.._..._.........._ _ <br />Addition_ . ......._ __ _ _.....__ .._ __._. .............__.........._...__.... <br />Remarks._ __..__._....._..-- .............. _ __....__.... ._......_ _....._......_.. <br />_... _ _ . _.__. ._..._.___..._. _........ _.._....... _._ . .__. ,. _.. <br />_ _..__ �_......--. ._..... .......__..._ _ _ .............. __. __ <br />_._......._....__ _. .._........_....__.......__. _........__...__._.._ <br />�_.�......1 ���.� <br />s��«����a� �/- <br />� -- _ -- - '_ - - - -_ ' <br />�" LABOR A�ID MATEAIAL USED <br />--.... - -- �� --- -- <br />o -. . q¢c I . _ . . _ __- � ---�- - � <br />. ., —' 3 ., ,/ <br />�_..._._..._I .f.� .-��¢��j l.cad Connccdon Completc <br />_ , �.�. .. _ 3iY: p � '....'i Su1�Ile C�mplc�c <br />� ,� <br />_ ... J . G I _3:3` _. _.'i . _�:.�'L�ll�.._.... . . .__..Pipc <br />3` .. <br />._ __. . / _ ......... _..:.F _...,/_ : Scrvice Cock <br />I , <br />..__.... . � � .,.:. �,� . � $crvicc Rax <br />._...__.f -. <br />...._ .................. �_.__.......__...... ....... __. .... .... ... _. . . ._....... .........._ _.............._'......._. <br />. _._. __ ....__ .__ . . . ..._ ........ ....._ . .. _..._.. <br />-- �o. H G —.. _—fi a 9 --- <br />� ours Labor.._.. .. ._ ._.. ._...Cost �3 �_....... __ ..... _ . <br />Cut in.._....__.. . Pav¢ment....._.___._X . ._.___ ...... ..................__Sq. F�. <br />� ,� <br />. . .... � ...._..._ .. . . . ....._.. __ _... . <br />...__ _.____..X ...... ................. " <br />. .. ..........._.. <br />� ,. <br />. . ... _. . . __..._ ._. . ._ _.. <br />Total . ........Sq. Ft. <br />R�marks,� ,,..;, � � i�._Sa(�f�ic/ �,,. . .._..... <br />. _ ......2� � G-d'. f� `T` .f/1/..:<1..� ( E,...._. _ . _ ... . ..... . . .... . .__.... ._._.. <br />......._ _.._ ... �. ... . ....___ ...............__. .. _ .. _......._ . ... ...... .. ......... <br />Ordcr Reecivcd __. _ ,� � <br />Work Completcd .__.... _. __ ��.� _� .....:i f..a�f F �1 <br />F .. .� <br />