Laserfiche WebLink
/Q�� G 9�7 -3 <br />9. J. PPIfBC� � � y / , <br />w. �U. fORM :t � <br />CITY OF EVERETT--Water .Dept. <br />��� � <br />� �� B �. G ..... ..................io...... <br />... Date ..................... .... <br />npplicalion No......':..`._..... . <br />,, J CS�d]� . ...................._..._.11lc� water service pipe <br />y2�C'.�lc�c.� .............. .. .. . .., ........ <br />���• .�, ��....�.7.U�f M�.k� o <br />......... ... .. . ,�'7 � y' treet <br />, ` .. ........... .................. <br />On ........- <br />.... ..... <br />. . ...... .... .. <br />Lat............................................................ Block No..................................... <br />�ddition ..__.......__._.........._ .....................__... <br />........................... <br />I'iemarks ......................................................................................................... <br />........ ............. ................ . ............... <br />........................................................ <br />.......................... .... <br />.................................. SuPerintcudent... <br />— .----� <br />'��-- LABOR AND MATERIAL USED <br />;.ead Conr+ection Camplele <br />tiaddlc Complcle <br />.. _...._...___....._ ................................. <br />�crvitt Cock <br />Scrvice Box <br />........ .............................. .................. <br />� � ..._.._._ . �-- <br />..... ....... . <br />No. Hours Lsbor .................... .........................Cost...._.................................. .... <br />. <br />X... S9. Ft. <br />..................... ................ . ._.. <br />Cul in....._........__.Favement. _ ..__....... „ <br />......._......... _... <br />.. _..... _ _....... X ........................ . � <br />.....X ........................ ........................ <br />._._...._... „ <br />� � / — 93� ._..__.. .._ <br />.......X ............... .. ...... <br />�'� Total .Sq. Ft <br />— -- <br />— _------ — .............._.... <br />a � Y a..).:. �:' ............. <br />...... ..................... <br />Re� n arks.....l...t ........................ <br />_ ..._......_.........._ .............._....._ ---....., <br />........ <br />Order Recciced . ......................._................. <br />................................................ <br />\Vork Complcted ..........................................................................Funman .. <br />