Laserfiche WebLink
5 J; tde6e;M 1.�6� 3 9 9�,�� <br />V1. D. Form J <br />CITY OF EVERETT--Water Dept. <br />•—-� � , , , , ,'� <br />Application No.'_.. .... _...._/ Datg ..............:.---...,.....:....../ ..19......% <br />� In tall......:; :%..'.�.1............inch water service pipe <br />,__. , <br />For ...............::%....._......... � � <br />� r .....; ... ....._� _ .................................. ........... <br />On.........................'..1..�..�........,_.:�._::::......:...:......'..................Street <br />;.:.i . ............................................................ Block No..................................... <br />. <br />.t,�\� ition .._.........._ ................................ .................._ <br />� 1^ r �. ......................."_.......... <br />�c� �i, arlr� ..:.......... . . . . <br />I . ..... . . . <br />.... ...... .. .. .....................•---................. <br />�J, ; ._. .. � � � <br />....... . ... .. .. <br />,. <br />. � - . <br />, ...... �L .:........... . : : _ <br />A,� . ..........................._................... ........:...... --�--'�- �- -�..... <br />�. :. <br />,,. ' ..... .__ .................... ....._:: ,.......... . <br />� ........ .........�... <br />� . -� , / i , ' . � �,ri_. ..............................-- <br />........_.........:._�,.. �- � � ��, ' . . r , <br />� ....................:............................� _. , � <br />_...f.��...J../ • i�� . ,� �%�......�.._.........._-�-- <br />� ' '_ <br />��-r.� —. ,� ..............................._'.... . ........, ...�_:......-'- - <br />/ �' � `\Supc � nten�c^t � <br />�i'." `l / -�� � ..i� .� - - . .. <br />Size <br />GAF.OR AND MAT�RIAL USED <br />. I Lcad Connc <br />..... , ^aaddle Corr <br />Complele <br />Se�vicc Cock <br />Servicc Box <br />............... ............. _. ..... <br />no. liours Lahor.......__ ................... <br />Cut in..._._...........Pavement.._...._. <br />........................Sq. Ft. <br />x........................ �� <br />........................ <br />X........................ �� <br />---....... _............ <br />Total ......................_Sq. Ft. <br />Aa;:, �rlcs ..l�� �1 'i,l.. �.�L �`�... 4 .Y_ � � ...: ' <br />�y <br />-c c.�., , �1' , , � y l. � 1� ...!� r � : �' `.._!!`'.. <br />�..,::,... <br />�L�i.��:�:�:.� .:..........................._.........._ f <br />-- ..... ........................................... <br />OrderP.ecei��ed...._ ........ ..................... ..... - ...._....__...._.........:.._...; / <br />_... <br />/i" ,. ' � i , r • . . <br />�Fo�k ca„pt�t�a.�H... I.....�.�:C.Y......._.... ' <br />.......... ......... _.......... _ _ _ S._. <br />� � Foreman <br />