Laserfiche WebLink
• y . � � <br />N. D. Form J 10.Y1 11-10.21 <br />CITY OF EVERETT•-•Water Dept. <br />Q33 �� <br />Application No. U_.._. �... Datc ...._ _...../� 192...� <br />, „ <br />� llnstall ... . �,� inch watcr servicc pipe <br />�� � ( ...... .. ...__.... ...__...Strcet <br />, . . .�..._ _.. .�.___... .. � <br />�oi _.._..._..._ _._..... ....___Block No...., .._..... ...__.___......... ___.__ <br />Addition _ ............. ..._..._ _.__.... .............................._................... _ .._..... . <br />_... <br />Remarks..................................._................. _.................... _.......__............................_... <br />_ .__.. _ . ... __._ .. __ _..._.... ...._...._ ..._...........__._ ... _ _. .. <br />......._ ............. .. __.. .._ _.._.... <br />- �<�.�� ���. <br />i�i � .. s� �� .�a��2 <br />--__-=__�—_ - - - --_ "_-- -_- - - <br />LABOR AND �tATERIAL IiSEU <br />-------... _ .__ - --- <br />Nu. i Size__ _. - --- — � - - --� �-- - ... - .. . <br />_____._— _— _—._ ___ _—___—_—____. .. . . . <br />...........................���......................... Lend Connection Complete <br />...........................�I........_.........�._ Snddle ComPlete <br />....................... <br />.................. . .........._...................._..................._Pipc <br />� .. <br />........./ .............. �I......_�......... . Sm•vicc Cock <br />........,✓ :.............. �I�t`,..^..?r_C:Ys',. . Service Box . <br />.................. .. ....._.............._..................................._................................... <br />. _...... I _ .......... ..... _.... . . _........ .. . <br />� � .. .......__... <br />...._ .....................�. ..._.............. _.__................_..........,.............._..............._..._.....__.......__..... . <br />.... ... . ... .. ..... . ..... . . . . . .. . . . . . . . . . . .. _ . .... _ . ... <br />-- � — � <br />ho. ]ioura Lnbor � �.... ..... .._Cosl � f . . <br />..... . . . .... <br />Cur, in ................ _......I'nvement...._..............a............. ... .. . ..... . Sq. Ft <br />....................5....._---............ ................_.. ,� <br />.._ ...............X........--- ........... �� <br />. .................... <br />....................X ...... ......... ...... „ <br />Total ' ...................Sq. F t. : <br />_ __ _. - _ -= - -' -_"'_- � —_- � -- -- - - --- <br />--- — <br />R�m,�rks . ". f.�l��" <br />_.._ <br />_ C'�?��� r i,2i,.t �`.� _.. _..__..._.. <br />_ <br />_ _ _ _ _. ..... _._. <br />Ordcr Reccivcd _.__ ..__ ` _. <br />Work Complc[ed ��� �` �+ f, <br />� r �,.�, i , . <br />