Laserfiche WebLink
�.�.�oa�,� �/�3 /�91�,� :} " <br />CITY OF EVER�TT--Water Dept. <br />Application Na. �...L..�/ ��3.. Datc_...... __ .�':':.` .1.....�So2...........19...... <br />I�s �ll._....._..� .............inch water service pipe <br />tor .....'....' t-c.`.-c<..........:. F.:r.C.�G ....................................... <br />.... ..`�. �/. . . . <br />Oi� _�..�� .J�..�...T...._^..r� ................................................ Strcet <br />Lot................................................... ......... Block No...... ... --...................._.. <br />Addition.........................._....._............................... <br />................................... ... <br />Remarks...................--.................... --�---- _ <br />................... � • � � ................................ ............................................ <br />_..._....h r../.L.es�:...........- -......_.... <br />.........- � ................................... .......... <br />%' . J / q <br />_.......s.l .......... :......'._:�...l..................................."'___.. _.. . . . .. <br />Superinlendenl <br />L.\I;OR A\U� pfATF.RIA1. USED <br />No. i Size � - <br />- _. _ _ __I _._.___ _ ._ .. __ .______ ---__ <br />............._.............__..- "...............� Lcad �onneclion Cmnpletc <br />......................_...I._........ . Saddlc Cumpletc <br />.......................fl............................ ....... _.... _........._.._ _..................._...................Pipc <br />...................................................... Scrvicc Cock <br />.._ .............._.....__...............,......... Scr;icc Box <br />No. Haurs Labor._....__ ..............._........._...._.Cost.............................................._... <br />Cutia_..___....._..Pavemcnt ....................X.._.................... ....................._8q.r^t. <br />....................X......._......_. �� <br />...... ......._............... <br />....................X........................ �� <br />.................. _.... <br />....................X........................ �� <br />.... ......... _ _..- -- <br />Total ........................Sq. Ft. <br />----- � ----------- ---- ----- <br />Re m a r ks ......... .......... ............................. .. ........................................... _. _. _ .. <br />____ _.._ _......_ .........................._......._.........._.._................. <br />.................................................................................................................. <br />OrderReceiced ......................................................._...................................._ <br />\Vm•Y. Camplcted .............................._..................__.....__......................... <br />Foreman <br />