Laserfiche WebLink
v <br />a d. nnae< a J/�] . /,% <br />w.'o, rnnH i� Z �i/' ' � <br />: ITY OF EVERETT--Water Dept. <br />Application No.l'::.'.�::..... Date...........��r.-..:,:%....%:' ...............19�.� <br />, ., <br />7n�ta11....... /......_ ..............inch water se�vice pipe <br />. ;; <br />- <br />For ......... .. ..:�i.sl......1�.:<!.��:.:C��?:: :S, ::.............................................. <br />� -, . <br />Gn ...... �.:--.. �./........._:l?�.:2:�r.L. ......... .................................. Street <br />Lot ................✓..�..: :.:�'-.......... •-------...... Block No.....%.�:z:.............---- <br />Addition............ n.i.<!..._✓..•� ................................................._--...........---�- <br />Remnrks.....................................................................................••---............... <br />•'� <br />..............._<2ra�s. � ::....:�tc :-.sr.s.�.,_..::....:. j.? t:r ::..............---......... <br />�...�...�.. � ..................... <br />........... <br />/ .. <br />... <br />. ... <br />�T.. .;...... <br />.. <br />A PR..�,�.�.. . .. .....�/:_?..N ......... .....�---............................ .......----..................... ... <br />T���g� �� � • <br />� � � <br />... �2�.� � - /-.� - - ................... � ........_.... .:�:.:«._u �:r.::�.�. <br />No. <br />LABOR ANP MATERIAL IISED <br />T ead Connection Complete <br />....,.,, ...�....... � Saddle Complete <br />........................................................................Pine <br />Se:vice Cock <br />Service Box <br />...................._...------------------. _ _ _ _. . _.. <br />........................................................ . ................................ <br />'- ' ' 1 �i .� i .� <br />.._....tr::.Z.Y. .:....�t:..�...�:..1...1......1.....�..... r ..:....:.................................. <br />...................�........................................................................................... <br />No. Hours L�bor ..............................................cas�............. <br />Cutin ....................Pavement....................X........................ <br />�i. <br />................__ ........................ <br />i <br />................. ..X........................ <br />........................sn. r•�. <br />........................ �� <br />........................ �� <br />.... _ ..............Total <br />........................Sq. Ft. <br />- — --- -- <br />Remarks ........................................................:.................................................... <br />Order Received .............................. <br />\Voric Completed ..:.::..:.....:.i._...:.. <br />`� � �� �� c_ti � r� <br />� <br />...............Foteman ✓ <br />� ,p:, �� �� r r " <br />. �, �_ <br />