Laserfiche WebLink
S1.Pri.b�N7.�%dQ �v � � /� <br /> W.U.Foro) � <br /> CITY OF EVERETT--Water Dept. <br /> Application No....��.V..��...d. D t ............... . l°�{J.�..19.�-.�..�1 <br /> .............. . .. <br /> ��. Instal��`�'��,.,,,_,�h watei�service pipe <br /> For .................... ' �� � / <br /> U ,... . ---•.r..�...r..�..A:,.:�:::t.:..,.;:A::✓5..,� <br /> On ....................�_�..�...�.........�.:�._�1'l.d..L-:�....`..."..'.:�,-�_:-Street <br /> Lot.............................................................. Block No........_........................... <br /> Addition .................................................. <br /> ............................................ <br /> ...... <br /> Remarks ......_�_�_.�.�.�.�-- ��t.,..�.� t.•..n�.---_-:.. ... . <br /> ..........--�--......--................................ <br /> .............'_........:.-.. ..._..... . <br /> .._.__.......................••----....................... ............... �J <br /> - •/�/� <br /> ..l..- -�..........:.................... ...�!.r... } - <br /> � , <br /> .._G�..... :. , <br /> . ..... ... ..................�---................... ...... <br /> .�,'c:........::.......... ... . .�................................ _.. <br /> . . y , �.... . <br /> _ ..� "7 ��cu.. <br /> . <br /> . .. r .. t ................. <br /> . ....... .... .. <br /> .................""'.... ._.. <br /> � V il � --. /...•......:.. 1�1f <br /> — � .,,..� I � Superinte,n�dent f • � <br /> � u � <br /> Q, , �.v'�' � ABOB AND MATBRGIL IIBED <br /> No. ize i <br /> — i <br /> i <br /> ...................................................... Lend Connection Complete <br /> ...................................................... Saddle Complete <br /> .......................ft........................... ........................................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> ......................_.. ........................... ..................................................................................._........................... <br /> ..................................................... ................................................................................................................ <br /> .................... <br /> No. Aours Labor..............................................Cost.................................................... <br /> Cut in....................Pavement.................._:'. ..Sq.FL <br /> ........................ ...................... <br /> ....................:{........................ ......._. �� <br /> .............. <br /> ....................X........................ .� <br /> ......._............... <br /> ....................X........................ .. <br /> ........................ <br /> . Total ........................Sq.Ft. <br /> —� - <br /> . , <br /> Remarks._✓ ."��.t..;�1..� . �_„ c� � . _ <br /> .�j.............................................................................. <br /> ` r , <br /> ...........................................1..................""'".....................""................................... <br /> ............. ........................................................................"""..................._............... <br /> Ordec Peceived.............................. i.......... . �.......... <br /> . r.:..................:f,..... <br /> '.t'ork Completed.......".... ...-.�..4......_.....::.:.:...........�:..:c..�... . <br /> /� �� 'i ,,.�j! � ,r,'�ia....... <br /> Foreman <br />