Laserfiche WebLink
^ i,. / I � <br /> ( ,R r � � <br /> IV,�U Porm)M� 21Y/ v 8 � • _ � <br /> CITY OF EVERETT�iWater Dept. � �; <br /> , 3 , " r <br /> Applicntion No_�_�:.�.�..... _pa�✓3 r.:;..E.:�,-�:.._�................_19...... �, <br /> - n .,, <br /> ,-� Install......�.1.`.:....... 'nch water ser��ice pipe <br /> � <br /> ....� <br /> • � <br /> c ,<.c:,a_ :� � , < � �- <br /> FoT ..................................:�...._ ....... .r...)�:_.:...:'.............��............. <br /> , / (1 '. � <br /> Or. ............ .:. .. /� �s... ...,_k:...:.:.....:,...:..:.c�::.�..��rEet <br /> Ct .�......_ ........ .... f <br /> Lot....................�.....................................1.: IIlock No..................................... <br /> Addition .......................................................................................................... <br /> ,7 <br /> Remarks ..n.. 1' ...... <br /> ........................................... ...... ,................. . ... <br /> '�/........... j <br /> .. ... <br /> ;�7 e_. . , r/ � �/ . . � <br /> ........................................"_.......:..............�......._r....�..L:.�...�.:..L.1_!.......:...:...... . <br /> . � ..... .. . ..y2�.................................................................................."'......_.......... <br /> • ,�—�."'� <br /> !�'y �....i�.. .... ..... . ..... . �1..........:................... <br /> .'_ -�7� .. . � . x..f..C/�.�.........._....... �t...�.......I.��..1..... <br /> ✓"'�-� �._ _ .�L._.�.. .. . .....,......... .L: �........�:.12......X......��. ' ' � <br /> � <br /> ..,. . .��:...:.................. <br /> � .. � rP � �,�� �� �iermtendent _ <br /> , __ �,. �.. r. I t� � . r./M\ ��1 � i,. . /. . <br /> � ���'� � % LAB AND MATERIAL II3ED <br /> No. � Size .-- _ � <br /> ---- _ <br /> ......................................................� I.,ead Connection Complete <br /> ..................................................._� Sadr]le Cemplete <br /> .........�)...�?....tt............................ ......��._..::.....:�:..�.e.-:.::...i.:_':....................._.Pip� <br /> ...................................................... Servicc Cack ✓�: <br /> ...................................................... Scrvice Box <br /> ..............................................__. ..............._......_...__...................................._..................................__... <br /> ....._..................I........_................. ......................._..........._............................................................._....._._. <br /> ...........................�......................_.. ................................................................_.................................._..._.. <br /> .......................I...........__......._.. ...._........_.._............_........................................_..............._. .............._. <br /> No. IIours Labor..............................................Cost....._..........._........__.................... <br /> Cutin..._........._..Pa�•emenL_............__.Y...._.................. ....................._.Sq.Ft. <br /> ....................X...__..............._ �� <br /> ........................ <br /> ......_...........X_................_. . ,� <br /> ........................ <br /> ...................X........................ ,. <br /> ..............._....... <br /> Total ......_...._....._ Sq.Fl. <br /> ----- --- --._ - --- � - <br /> nenmrks.................................................... ..............,,...._..._............................. <br /> _.......................... .._..........�:...:_....:.......................................... <br /> .................. ........ ......................................................................................... <br /> Orcleri eccivcd..._...................................__............._....._.............. ......_....... <br /> ',Coi9; Comuleicd......................._ ..__...._.:: .�:...... ..............__............._..... <br /> � Foreman <br />