Laserfiche WebLink
-^� �,S/ - ✓; /�a <br />S J:�iebN�i� ' ��/ %-� <br />W. D FormJ ' " <br />ITY OF EVERETT—'JUater Dept. <br />� <br />Application No.......... �J.�... Dt <br />�� Install .., ... : � <br />For .._ ............:! �..�..:.....5,�.;}� <br />On........ <br />Lo t .......................... <br />�' L�..........inch wate: service pipe <br />-v�. �_,/..�% .... .................................. <br />� ..........:.. <br />, / ,i , <br />� ........^,:'...:':.::_-�....-..--- --- Street <br />Block <br />AcWitiou � .........�.........-..._2/ <br />.......... .. . .................................................... , <br />Remarlcs .........�....?:...r.a..l',_.+.l:zr_..�:�--�..•--:`:�.,:.4.::f!..:.F....._..... <br />�� <br />.....................�?.::�.....:..?....^.:::. �.._va.. �?:.: �_�.:.� ......---............_...................---- <br />................._._....... ,;.............. <br />LABOR AND MATERIAL IISED <br />No_ __� Size <br />....... ..:1_....._ft I....__� ............... I <br />......._......_� ......... .......:... �............... I <br />i <br />i <br />................i..........1. ...................... .. <br />........................... ......................... .� <br />Sdperin[endent <br />f1 / <br />Le�d Connection Complete <br />Saddlc Completc <br />, .. <br />...___ .::.._....4.!:.:.�a .................................... l�C <br />t� <br />SCPV ICC �CUCIC <br />SCCVtCC IIOX <br />no. Hour� i.,�',�c......_..._ .............._............_.Cost................_................................. <br />Cutin........__.......Pavunent.......... X ........................ ....._.................S9.Ft. <br />....................Y........................ ........................ <br />„ <br />....................X........................ ........................ �� <br />Total ........................Sq. Ft. <br />----- ----- <br />' = _-----.---- — <br />� <br />/ . �! .: j,� ......................:.:...'................................. <br />Rcmarlcs ................. ._ .::...�.;......_' <br />� I L� � . i� <br />.. <br />�-� �..e:...�7:t......._ :.:.::.............. ......................... <br />� ............:.:..:........ ., ...� <br />. _......_._....__ . , „1. � <br />- ' ....:..' :...4:�.:._ ........................................................ _.............. <br />.............................. i.�. <br />OrderP,accived ................................................................._ .......................... <br />� � � � ...... �, <br />\�'ork Completed...:.:1 ...:....::..:.....`............................... "'.1....:...._.. <br />oreman <br />� �i <br />