Laserfiche WebLink
y. 7. Yrie6e 4M i.d�55� 7 2 •• • ,. <br />W. U. Form J �� V `_ ) • . <br />CITY � O �EVERETT--Water Dept. <br />., - � , <br />Applitation No.`'..�.r.�_.:..... Date..�......... � �� � '� � � <br />..............._:.. ..........1 . <br />� ` ..... <br />/Install...�,,..../...:._............inch water setvice pipe <br />For ��.i . T' , .,. . ; .---- <br />� -...�__' � <br />� � <br />. .,,..,...... ...._ ...............:... .............. - .........-- <br />i - t,-- ....:...... <br />' ^ - ' "• .. ..' <br />On..............�:_f.._............ -::......................:. �..,.:. ' � � .1. ' C Street <br />~ � i ^ / " -'•..--~ <br />Lot.........._c.......:.._C...:' ......................... Block No.............../.�....' <br />�........ <br />Addition .......................... <br />..... ........................................................................ <br />Remarks .......> ......... ............ . i <br />....................... ,.......... <br />.. ... ... ................... <br />.� .... , .... <br />.., . � <br />...................... . ./.....::..---.. ............_:......,...... <br />..................... ..................... <br />... ---- <br />„ _,,_.....�..,.� <br />�t '_, <br />LABOR AND MATERIAL USED <br />, <br />No. <br />......... �', <br />��ze <br />- ................: Lcad Connection Complete <br />._........_... Saddlc Complctc <br />i •i , <br />Z...� ......... ......�cti..:- . . �zPii.G...................................Pipe <br />�.L..... Servicc oc <br />_.. ........... Scrvice IIox <br />............... . ° . C i �f a ,f.t e <br />:. .. ....:.. .... ... . <br />.. .. ....._....q......._ ................. �...,. <br />, . <br />. <br />(...._._....... ...!.'.. _..:G/ .L=fi--��. /t� <br />� / <br />G, �. ...Q........`.:�..:........._..'_..........::/ ..:........................ <br />................ ...............�:...................._.......................................................................... <br />.................................... <br />No. Hotu�s Labor ..................................._I< <br />Cul in_......._...__Favcmeni ....................X <br />� <br />........................Sq. Ft. <br />� .t�a. . ....................n........................ .� <br />.� � ....................... <br />1 � . <br />....................x. <br />............. ............. ........ „ <br />Totai . .__ ................By. Ft. <br />---- — <br />Rcmt�lcs _ .......... .......... <br />.... .... . <br />. � ........... <br />{i ... , � � <br />- - ... a _ �1 ! .-,, . �j�., <br />_._.........1 ..................:.. . � <br />..........................:.......... <br />,_ , ,.,......._....... <br />, . ,_ <br />�- , r . , <br />.'.....:.....1 :.........:..-........... -� �v , <br />Order Received ................ <br />\t'ork Comp]eted ................................................._........._.......................... <br />Foreman <br />/ <br />