Laserfiche WebLink
�- -/3 98 9 � - ;� _ ,, <br />W. D. lOflM ] <br />CITY OF EVERETT--VVater Dept. <br />, ; <br />Application No/:.._r._�..: �- ,Date....li............" ..................__.....19...... <br />,__� 1�sta11.......-:::�-.Tf .............inph water servicc pipe <br />Far� ........:..::'...:::.........:.._....—......�..._.:...'....'.....: /........................................ <br />,_ <br />,... <br />i -....' ' ,� .� . . <br />, <br />Or� ..........:,_ ......... . .........................._........:..:...........................---...... Street <br />Lol..................................................�:.......... Block No..................................... <br />Adclition.......................................................................................................... <br />Remarks . � <br />... ..... . <br />� ...................................................... ...:............... ............... <br />� .-1 � � 1 . � <br />r 1 ............ :........t..........::.: �.;_.......__....,..' ............:::..................._................. <br />���.. . _ <br />,. . <br />_....:......_ ....................."._.:... ...................:.....:... .......... ...'._......._......... <br />- � f... <br />i..._.:..:.� ...... .......... ..._...................................._....,._.,..._..........� .,................. <br />. :�: / , ,, . <br />,,..../...._.... • ............. ....... - ..................I...--'�:......L�....:..:............ <br />..�/�, o� ���'�yy'���' � � Su�crintendeny' <br />��.�7.!�. u"- r ` . � <br />�n <br />LAROR AND M.1TF.RIAL USED <br />No. j S�zc � <br />_— _. .. . _ _I <br />............. _.......... _�...................... _. . <br />.......................... ................... <br />,. <br />, , . : . <br />.............��..::.tt. .....:.....:_�............ <br />............_.........,�. __..:.'..:..___...... <br />Lead Connection Comple[e <br />S�ddlc Complcic <br />.........__.:....,...._ ......................... <br />Servicc Cock <br />Ser�ice Box <br />. _ _ ................. _........................... <br />_.........__ .................._..........__..... <br />...................................................... <br />Pipe <br />No. Hours L�bor._...._.__........_..........._.........Cost ......................................._........... <br />Cutin...._....__._...Pavemcnt..........._...... X ........................ ................._.....Sq. Fl. <br />....................X........................ �� <br />........................ <br />� - ..._.._.......... X...__ ................. �� <br />� ............... ........ <br />....................X........................ �� <br />........................ <br />Total ..._..__......._...Sq. Ft. <br />___ _ _ � .. . J <br />Remark I..� � � ... ................._......................_... <br />.,.. _... .. ...... ._...... .�..,......,_ <br />�, , , . <br />. ,.:._.::..:.�_:.� .. ............. <br />................___ __.__.........._.._:,...�::..,.c.�......._....... ...--- <br />' �...:�....J..A.1.!...:...._.......... <br />_ ..................................._............. �'---............._...'--......... <br />OrderRecciecd_ ................................_............_....._............._....................... <br />� % <br />\Vork Completed.:..__...:`... __......'_........_.:...�_t._:.__......... <br />w........ <br />Foreman <br />