|
B. J. P91C�� � � � O � .J�(�• 1�:'� � ( '
<br />N. O. IORM '. • l i
<br />CITY OF EVERETT--Watex Dept.
<br />c - � �"
<br />, � ,,.. . � � ;., -
<br />, ,
<br />: •,! � - � .19'.:.:�� �
<br />Application No...'__....� .f.... ....�, Dat�?.::.1-.`-..�........� :......:............
<br />ni�;/ i e
<br />- -- ( �
<br />.
<br />, . �
<br />, ., . ,.
<br />For ..........:....::._.._:.........,�...;..,.:...._:,.:-•,�
<br />�� � ......: ..
<br />o„ � G�.1........ - 7 ..:....�
<br />................ . t........ _ �.
<br />Lot............ ................�P..........---...-�---��-
<br />7 ., ,. , .. . 1
<br />!lddition .......r`....._ ....................:....._..._
<br />remarlcs.�� ................................................
<br />.mch ��ter ser,icc p p
<br />• . . . .............
<br />�_����_l_�i ',;__�_ Street
<br />Block
<br />,
<br />�„/.......:.w�.c.. �. . �:..:.4,�:.:..G_c._ :............................................
<br />F:. ...
<br />.g •�a� � ........_ ......................... _ ........................
<br />................��..... ... . .. �- �-
<br />3..._........... � . � ... --
<br />,
<br />--, •- ,...�:......... � .�#. ; ;,-` ........ ............... . ........--�-- �
<br />t...,,,.
<br />............. . ...1... ...,r�--
<br />f� .., _--' ({ . . "� a. �.,.:ii�..-�--.�....� . • .
<br />� ...� , ..._.:.:i.. . ,
<br />- ... �.:.:. ...L ......:..... .!ti'� .
<br />s �.
<br />... . .
<br />............._....... .. � .. .. M � • .
<br />� Supc u�i endent
<br />/ �`� � 1SH /,r �� � ' � L `—.. / --
<br />�ii � . �:r^J4. ,_. , ._ _. =�'s
<br />_ ` LABOR AND MATTiRIAI. U$ED ' _
<br />Sizc
<br />........_ ...............I :.ead Connection ComPlete
<br />.........................I Saddlr Completc
<br />•' ..._..__..... _ ........................................
<br />t
<br />....... ................. �
<br />..,
<br />....:::y........... Scrv�ce Cock
<br />. ,....... Service Box
<br />.................
<br />No. Hours L�bor ......................
<br />Cutin............_.....P. vesicnt......_._........X ........................ ........................Sa. Ft.
<br />, ,�
<br />-. . - ,: . . .. X ........................ ........................
<br />. . , � ... ..c .............._ ��
<br />...� . . . .
<br />' ...................X................_...... ........................
<br />....................x........................ ........................
<br />Total .................... .Sq. Ft.
<br />------_-----�-_------,'�_-'__- - -
<br />� � -
<br />, ..�,..�.a::t_c.:......i::.%..�:..:._ ...................................
<br />Rc�r �arkn... _ .........................
<br />;'. .1.:.:.f,a.._..t.:c:t:L:'.. _..p i.:.ct-.:C_...........
<br />. ...._.___ ...................'__.........._.___.
<br />. ...._:.:...:. t. t'..f....t:.t ... .. .........................................
<br />Qrder'tcen�ed .................... ......................... ..:...:...... ................ ............ ...
<br />' � � .� ....................�.:-.�..:. ��i�.i....... �..: ..rt.._ ..
<br />Cvor�: Com�tcted...L..:'i..�..::..''..� r.,
<br />Formnan
<br />
|