Laserfiche WebLink
a+ n��n[ aw�g 6 3 L <br />w. o. rc�w � ' ' � <br />CITY (�'F EVERETT--Water Dept. ', <br />ApplicalionNo.-J_�'.'...':. Date.....F..l��t..�..�......L.�= ig�.� <br />� � . <br />� .... <br />� 7nsta1l....,.-:...�..,. _..._� ct�'water service pipe <br />i <br />� � ' � <br />, >. . <br />I'or " � , . „ , <br />.... .. ....- ...... , . <br />:- .........._.. -..- ---�-- <br />�. � �� - �r-....,_.._........__._ ....................... . <br />On ..............._. _..r.'..;...--......�...:...t.L.:._�:_..:..'...: . Street <br />........................ <br />Lot..................................._.....-�----•----- . Block No........_...---------........... <br />Addition ........... .. .. . . <br />....... . .. ..... ..... ........ ...................................................... <br />Remarks � <br />..., ., ,, — - <br />........_ �r.....� _ ............. . <br />. ......_.._.._..--•— -••---�--•�-�--........� s_... <br />LABOR AND MATEAIAL D9ED <br />.....__....__.........�.._ .................._ I Lead Conneclion Complete <br />......................... ................._� Sadd1F Complete <br />.;� �'' : <br />............_...._:.it....a ` ..............._..' ..,.,,,,,i,L..��f................_......_.......................Pipe <br />.................�........�:n.C.;:.d:atc� Service Cock <br />..................1....... •.�.i.r..;a�i,.c. ��.Service IIox <br />h�o. Hours Labor ..............................................Coat.................................................... <br />Cul in ..............._...PavcryicnL._................X. Sq.Ft. <br />......_ ............... ........................ <br />Q... �i�..�ai ��,It(�.,<.,�r. ...................X..._................... ......._ �� <br />/ �. , .............. <br />� x „/ <br />, , ....................Y........................ ......................_. �� <br />�. -. <br />...................X........................ „ <br />........................ <br />Total ........................Sa. Fl. <br />.y <br />..... ................... .........._r..1.i_�'Li .5.....�1_..:1. �%L.r.l..........._......_......................... <br />.................................................................................................."'_""................... <br />OrderP,eceived ..........................................._.....................�...._................._ <br />1Vark Com �Icted..::�. .:.::..�.'.:?...:.._:.....C.......__...._ �,.'..,:.f:': i:te..,...._ � <br />Fmeman <br />