Laserfiche WebLink
5 J.Priebe{M7d�� J �! • , <br />W. U. Fnrm ) <br />- CITY OF EVERETT--Water Dept. <br />Applicztion No.l..`.:�:...�� Date......,.:�!!?v 1 �jry <br />. . ............ .............19.....� <br />Install ......................i::....inch water service pipe <br />For.................................................................._...n........................................ <br />� �, <br />� • <br />On ..............�.�.�...�'..........�:�'�.'..".:.,..k_:r1}.:.'.�-�:........... Street <br />Lot.. .............._.__.....�.�.............................. Block No.................................-•-- <br />� <br />9d:ition ......__��_.:!._'�.rf._:.�.:._... �,•, � , ,'� <br />... � <br />_......_... ...- - ..::: ::� ............ ........ <br />Remarks <br />......................................................... .. �. .. .. - � <br />j i.....q..-- .................---..... <br />._.........._......._............"'""........._.� ��f (;Yt-C <br />..... "'. ...... .� -......."'' ..........P ................_'.... <br />� � Su erintendent <br />� �• �� <br />LABOR AND MATERIAL USED <br />no. i Size <br />.................I I.end Conncrtion Complete <br />................. Saddlc Complete <br />� •• C� o- o ��e-ri <br />...17......_. .._........__ .............................. Pi e <br />. � . ..................... <br />� ,. <br />�.�_.__... Serv�' e C e _-/. X, "., ` <br />nU` ., <br />........_.._ - �,Box q � <br />-I . �G�`�' 3, .............. <br />.. <br />.� � � <br />............... �.1.�....�.I...�(..... , I <br />... .... ...................................... <br />a. '� r• <br />,;.....; 5..:.�.`::FL�-. :r.�.,:._. <br />I "� l'G.�'i.,-- <br />C..L.,����:�.� <br />/'/" �'l <br />Yt.t. <br />No. Aours Labor.._..........._..........___........k:..Cost....:/.,.:�..^_............_ ..................... <br />Cutin__......._.._...Pavcr.ment_._...._.._.....X._ ..................... ........................S9.Fi. <br />....................X........................ .� <br />........................ <br />. I .._ ................R........................ ........................ ,� <br />" Pt-�•�� � � F ................._X........................ ., <br />7yu.� � .................. <br />� 'Polal ................__...Sq. Ft. <br />----- ------------ <br />--- <br />i�c m. a rks .............................................................. <br />_ .... _ .............. ..... _ . ... _ _........ _............................................................. ........... <br />_ ...... .............. .......... _. ........................... _................................................... . <br />Crderficceiaed___ -- .........................................._..........................._. �..... <br />1't'or?: Completed ..............................._...._............_ ......._............................ <br />Fo-eman <br />