Laserfiche WebLink
W�LPFormM7d �.99f� , 1 `�' / ���� <br />C,ITY OF EVERETT-=�G'ater Dept. <br />/ _ ,.J .--a <br />A lication No..._�.�:�. /.... �s e�..../�I "' f"� J '� <br />PP/ � ' -� j t....� ::....................... ....19...... <br />(� Install............�/`.. .. .........�nch water service pipe <br />R�i: r,...�::�... . ,✓ �'.::...:.;.:.�::;! ..............�---..... <br />For ..................... .. .. / <br />.. . <br />ri./� ��i� �• •L [^,. ..r J <br />On.................7....�.......................:.............---...,........................c.�.... Street <br />Lot..........................�............................... Block No..........�......._......--�-�---• <br />Addition........................................................................................................ <br />�,_... . , <br />Remarks ..._�`�`. �c..���e...:.:...:..s�._.�••...�....._.�..�:....c?:� � ............. <br />��0 <br />LABOR AND MATERIAL U3ED <br />Lead Connection Complete <br />Saddlc Complete <br />Service Cock <br />Scrvice Box <br />......... ............... <br />No. A�urs Labor ..............................................�;i <br />Cut in...._._...........Pavement ....................X....... <br />....................X....... <br />....................7i....... <br />....................X....... <br />Total <br />�--- <br />_ . .)/ ��.'.� .'.�'' �„ , <br />0 <br />.. ................. ............_..._------ .. <br />� a ....... ..• ........... <br />................... ...... . .....................................................r. ...... <br />� / � / �, N� %/w <br />Order Received_ ..............................................__...1.'.��:.i...1_i '..Y(.......... <br />�� ., � „ <br />\;'ork Completr_d._��::..r......:..� :....... ............... ...................... ........... <br />� For an <br />