Laserfiche WebLink
5 1.prirba/!A''�67�53' ' �I � � � / ^�• / � <br />W, U. Form? ' <br />CITY OF EVERETT--Water Dept. <br />ApplicationNoll...I;�a`.�:_ 'Date/--�:�:�`:;:�nch.wat�servicepip� <br />� /'j' . <br />For � , _,, ., �. ........... 7^.........- ............. .. <br />; �, . <br />� .. <br />� ..,.. � <br />......................................:�. _.........y . ....... : <br />.. <br />on % / =� �,�..�.....: �...: 1 ....:. :.:.:.:' ' '. : . .�stra�t <br />� ....................... ..................... ... � ........ . ..... <br />,^,'� '1 <br />� �ot ......................-.�•-��................;...---... B�ck No...._..�.�.'�.....--�--................ <br />� Addition . t.._.r w..^...:!..^..ac(....::-�i.. � ^S. <br />'� �r..t:�......... .... <br />...._ ,. ........------.... <br />emarks...............�-........................................._...._................... <br />;- ' � „ . _ <br />............ <br />`'-�.��. ��.C..:.....�. �:.:.�........�.r-.. .-%........ <br />............................. ............._ <br />. t.� <br />1 <br />No. <br />� r. <br />LABOR AND MATERIAL DSED <br />Lend Connection Complete <br />Saddlc Complete <br />........................... . . . Service Cock <br />. ... ........ ............ <br />........._ ..............._..................._...., Ser��ice Box <br />� <br />-r� <br />Nn. Hours L3J01' .............................................1:05[.................................................... <br />Cctia__ ._.... ..... Pavement ................._.X........................ ........................59. Fl. <br />....................X....................... �� <br />...................... .. <br />....................X........................ ........................ <br />�, <br />iotal .................. S4.Ft. <br />—�^�--_---- -- —_. <br />-- <br />Remarks....�.. _.....:.: :�.........._. _.._ ..:.............................................................. <br />.� <br />........................................................................................................_..... ............ <br />OrderRecei��cd_ ........................................................................._.._..._ .... -: <br />1'; ork Cempleted..:::'" ........:::..._...:::...;:..................................�''. .. ...... ... <br />� <br />Fureman <br />