Laserfiche WebLink
6. J. PNI[p[3M /29�0 � ) L 1 � <br /> w. o, rowH � <br /> CITY OF EVERETT-.Water Dept. <br /> Application No...�^.Cj. .��;... D/��te..............._�._�.._�....................19.(�O <br /> \ • I°s�ta��..-.�/y.-......_.._..inch water service pipe <br /> � . � <br /> For — <br /> ..... ..�:.l�.k.V..:.....7..�:��i�6�.t.1..�:.............................................. <br /> On ....... ....�_? � :� S_.c�.��,t,��;"_�..�-...................... Street <br /> ................ .,. <br /> Lot....................................... ..................... Block No............_...................--�- <br /> Addition ........' .... <br /> . . . . .............p.-.-..-�........................................... <br /> ... <br /> Remarks ....... ....(c....��.-:�:4'lM:�:..�:5...4.tLc:`......... <br /> ...................................................................................................................� <br /> ......................................................................................................................... <br /> :�................�.. ........ ...............----- <br /> ......._...................................................1�_C.��t �:C�(.t�c � <br /> r�,�^ �S!pperintenden� <br /> —_— �L t �r- V.-.c�.c..4_� <br /> LABOR AND MATERIAL Q$RD <br /> _No. ' Size <br /> —-- <br /> ..............................................-.-_ Lead Cnnnection Complete — <br /> ............_..................._............._._ SaJ c Complcic <br /> .......................tt............... ........... .....Pipe <br /> ........................ <br /> ........................................... <br /> ..................................................... Servi�e Cock <br /> ...................................................... Servicc Box <br /> ............................. <br /> No. Rours Labor..............................................Cost......................... � <br /> .......................... <br /> Cut in....................Paven�enl....................X........................ ........................Sq.Ft. <br /> ....................X........................ .� <br /> ......._............... <br /> ...................X........................ .. <br /> ........................ <br /> ....................X....................... �, <br /> ........................ <br /> Total ................_......Sq.Ft. <br /> �— _ . -------- <br /> Remarks_._ ..t....... <br /> . <br /> r. ....__..... <br /> ......................................................................... <br /> �'.:�.......�. ' � . <br /> . .............,::....f.- -. . <br /> ........... .........^1.......... <br /> . .� � _.........._"_............... <br /> ................. <br /> �' '_ !- (_ <br /> __................:.._...........................:.�...a:.............................._. <br /> _,, ..................._....... <br /> Order Receiced.._...... ................................_... . <br /> � ............. . ............_......._ <br /> �VorY. Campleted... ...._..._...._. / <br /> _.....................__ _ __ ! <br /> _.._....._.... <br /> Furrman <br />