Laserfiche WebLink
SJ.Pneb.�ni7.aoi�i� � • • V + <br /> W.U.Form) <br /> CITY OF EV�RETT--Water ept. <br /> J�� <br /> Application No..�....�.�........�D te� ._�=:5::3.:t._..S'...:�%.:_?... <br /> .1�._." <br /> �nch watcr service pipe <br /> � Instal ......�. .... .:............' <br /> � r <br /> Cf 2_':.� j:.�..�?,:�.i!.......... . ......... <br /> For ...... .. ....... <br /> �...........J.... /. +"_'�..' <br /> /d rZ %�� � G,_r�r,... ..rG�......._ Street <br /> On ..................�-.........._,.,.?........... ....... .. <br /> c- <br /> Lot..................................... <br /> ........................ Bloc 'o........... ....................._ <br /> Ad�tion ......................................................................................... .:........... <br /> . <br /> . ......................... <br /> �.�`� ......._.. ... ....... ...................... � . ........... ' <br /> n . �-_�--�-,: .,...._-... <br /> „ _ - <br /> J�.�!..........C.!............._........... <br /> ..:..........:::.�;:::...... ��:::: ..�.. .-:;.....�:�-._....���� ...---................ <br /> .... <br /> . .._ .... . .. <br /> ., ; .� � ... .... �.�.� <br /> �, .:� ............ .:._.............................. <br /> ..... <br /> jr,.: , � _ <br /> ..- <br /> . .- -� <br /> - .. ....` .� <br /> .a/- 1 � :.�......_!....................................................... .."' Sup tcnde <br /> �Gy y..., _,--� �`r \ r �'.�.� , <br /> .^,� a > � , �---- <br /> +�'?t:^.. , `�U � LLSOR AND MATE6IAL IIBED -_ <br /> No. I Size � <br /> .................... <br /> ................. Lead Connection Complete <br /> Sa ldlc Cotpplete „ � <br /> ..................................................... � � .....................PiPe <br /> . r. <br /> / �n �� T..�..t.:...:.::..... <br /> , .........f�tC.:.....ft............................ i���-............_C.; : <br /> ............................. <br /> ...................... Service �oclt <br /> ................ Scrv�ce Box <br /> ........................... <br /> No. Hour� L�bor..............................................Cost......................................._S4.Ft. <br /> ........................ <br /> Cutin...................Pavement._.................iL........................ �� <br /> . , � ;� ..+- i? ....................X........................ ......................_ �, <br /> �_. : � � ........................ �� <br /> ....................X... ................... <br /> � , :. �� <br /> � + '� � � ' ...................X........................ ........................ <br /> Total ........................Sq.Ft. <br /> � U '" �-_�--_ <br /> Remarks.......7._ . ......Y......;,...F:_............................. 7 <br /> ........ ... <br /> J....... - (-f r? . <br /> � L_ r-_; O ,�`....._�....G�. ......."' '-...... .. C ........ . ..... <br /> . .....� ..S�,r <br /> i �_1.1.....r..f.. _...... . . � \ <br /> _ _,-.....r;� t � �-� :�,-� .��:��a:il�-_..1-�� <br /> . <br /> ` �- <br /> ' �.r..r. .. � , ,_......................r. <br /> :..... <br /> .................�...................... .. <br /> OrderRecei�ed.......................................................E........;;?........�................ <br /> �� _ �r _ ��� ! �;;.�.c..c..�. �. <br /> \Vork Cempleted....�....l..r.�..:�.1.................... ..F:.s....�.:...i Forema <br />