Laserfiche WebLink
S 1• M�bN1�7d63955��/� �� J v� <br />W. O, pom ) <br />CIT`1' �UF EVERETT--\�Vater Dept. <br />Application No%..�.'. I�.. Date--__�).�.�.::.�.:.r....._� .............19..`.� 6 <br />, , <br />Install.........1u.-..-.•.•-•���•••inch water service pipe <br />For.......................................t........................................---................................. <br />On ....._�.'... n c �-% [� }-r� [ , <br />....:..................................�,m..................-�---......... Street <br />Lot......................................................�--.... Block No............_....................... <br />Addition...........................:............................. ............................................. <br />Remarks n—�-, � r_,_,� -�_ <br />...................................................... - <br />� <br />� r_..ti_�_.L._i <br />- r <br />— r <br />LABOR AND MATEBIAI. 081D <br />. <br />_......l.3.......tt. ... ....,�1..'... <br />....... ... J ........... ...:�1.:....... ..... <br />............. .......... ..... .. ........ <br />.. _ <br />...............� ..............f .......... <br />i � /i „ <br />Lcad Connection Complete <br />.�addlc Com lete <br />._..._ ,(D .,- .. ..... .......T......:...........................Pipe <br />Service C k � <br />S�vice Box q_. . <br />�.t. _, e�... rt.. . ... S: p:.: C ....... ......�...y . <br />n �.. � ................ <br />._�.,4.�..�4.- .i?�`_:C....�:cl...C:.'.`.t�rrt. .................................. <br />i <br />.............. Q.... _�......................................................................................... <br />No. Hours Lab��r ......................................_�...Cos�_1.:�:.. <br />Cutin ....................Pavement....................X........................ <br />......X ........................ <br />t,Q.,f �6�.1.�� ....................X..._................... <br />, <br />�'Z" � � 3 ................ X. _..................... <br />� 4 Total <br />........................Sq. Ft. <br />........................59. Ft. <br />. ......................................................................................... ............... ................ <br />Ordr.r Rcccived ............................................. ..............__..__........... ........... <br />\Frn•k Comp:etcd......_ ........................................................................._ ...... <br />Forema <br />