Laserfiche WebLink
B. S PNIE9[ S�� � � � � � • .-• �� �` r� <br />W. O. fORM ] � <br />CITY OF EVERETT--Water Dept. <br />App:ication No.....��..��`� Date.t. .�_............_Sy�o2`�Z.:.19_"'S.5 <br />I�stall.......... `�1...'7:...... .inch water service pipe <br />On " .................. ....... . !7 ...................................................-- <br />�� � .....-- //�C--C,�� c. ...... . �:{-. ..... Street <br />�i".�.--.......... ^ . .... <br />` ' , <br />................. .......................... _ <br />.. �- - <br />............. <br />� y--.�� � �- w� a. �o�k o......... 1.�:�..---�--- <br />Lo, . .....---- o� � � ...-- - <br />...... .................. .. <br />�dc;ition ............ . ...... .... . ......1.: _'—' .................................... <br />T;emarks ...... • .................._..................... <br />.................................... ...� -.............. <br />...... .................... <br />— _-i ..s ,.� _. <br />'''%;''�" ' � � / U. / �-��z-c�' <br />GN....'..::..��' QI� ............ ............................_t..........._....... <br />................ .Q. � �h �<(. 3'� �'� SuPerinten�rnt ��°�.� <br />-----" -y:+-- . <br />LABOR AND MATERIAL IISED <br />No. j Size---- — <br />--� ----- ............_.. � <br />. I ?.ead Conncction Complcic <br />........................... ........ . <br />.......... ... ................_: ..; ............ . <br />:;�ddle Complete <br />- . .....:........:....:::..:......._....................................PiPe <br />'r'-� ft .........::............... I <br />.................._.. _ <br />. .................. Scrvicc�Codc <br />..................... ...... .......... <br />' __ ...................._ Scr:ice Box <br />.. ..._._......._.......I ............... ..�...._ I ...........................................__... ....— <br />........ ............ <br />No. Auurs L�bor ............................._...............Co�?........_ __. <br />Cut in.........._......_PaviceucnL....._........--.X._ .................... <br />. . � ....................X..................... .. <br />....................Sq. Ft. <br />. ............ _...... }{ _..... _ ............... ........................ <br />�, <br />X........................ ........................ .� <br />.................... T o t a 1 <br />........................Sq. Ft. <br />------- ------� -------- -- • <br />�� �_�--'--� i :::......... <br />. r...:,�.....a<.-t... ........------...... <br />:iB1ndP�rs............_ ...._ ................... �..... . <br />�" / : ,; , <br />. �. <br />• � ................:.:..................... <br />.. ........... _......... ................. _............ �..]...... _ -.. _....... <br />................. .............. <br />prde�• :'.eceivri ......................_.. <br />R�orl: Com�lcted....:......:_�....... <br />Fareman / <br />