Laserfiche WebLink
w. o. ro� 7 � �/ � � ' • . .� / <br />CITY CF EVERETT--Water Bept. <br />Application No./.c> i':.,:..: ._. Datc_._...... � �/�' c-: 3 <br />�.:.� ..:..:..:.....................19.. . <br />Install....... 3,//........_� .inch water service pipe <br />I'or ............. �i -�-,�: - � � ,. <br />,� ...__......s::r:........._�1..�':�;rc�:/.` .................._................ <br />_ � . .. <br />On .........✓.�G�:: -�� ? .................._.................................. Street <br />.. . .....�_........ . <br />Lot.............................................................. Block No.................................... <br />�ddition ._ _ .............................................. <br />. ............. ....................................... <br />Acmarks ..�..t2.t.-ax.'-r._.�St._.:.�.:..........-............---- - <br />............................................................................................................ <br />..............._............... '-�..T.:L...................................................... <br />f.... ."'„/ ......... <br />...................�[�::`�cL`. /...../.. -p •.;, <br />�.. .... �.........-' ....................................................... <br />, <br />...._ :... :................................. ......... _ _................................:�..�.... C�f..:.:: �..�..... <br />LABOIt AhD h1ATGRIAL USF.D <br />_. N�_ i Size I <br />..................... I �-- Lead Connection Compicte <br />........_ ..................._ f <br />..........................I. .�� 6addlc Compietc <br />. ...................... <br />.............. ...�.:...ft. ............:............. I .. .... ._.........._..........._ _......._............._.Pipc <br />, ......... <br />........._ ...........:.............:......_..... Scrvicc Cock <br />..._ ................................................. Scrvicc Box <br />. <br />No. Hours LaSor... .........___.....__ ..............._Cost._......................._........__........... <br />Qll in__........Pnvcm.,nt_._._._...._X..........._.......... .Sq.Ft. <br />....................... <br />. <br />.._......_ ............................._.. ...._.........._...... �� <br />._..____.......X._........._......... ., <br />........................ <br />...................X........................ .. <br />........................ <br />__--__—__ ___ . _ —__— <br />Total ........................Sq. Fl. <br />_.__—'___—�.— _ <br />, _ _ ___ <br />Y.emarks...._..._t.� .......:.................................. <br />................ ............................ <br />� <br />... .................. ......,......................................... ........................................... <br />..............................:......._.............................. . /, <br />_ ........ ... ........................... <br />Order ?ieceived ........................ ......_...._......... % <br />.•...__...._ ................__ � <br />\Vork Completed ...............:._ _..._.___. , <br />_ _ __ ... ._ l <br />f'oreman <br />