Laserfiche WebLink
. .. (OHM�T � Y o ' 'L.�_V� <br /> CITY OF EVERETT--V(later Dept. '•�' <br /> Application No....�':'..%'��. Date.......:....::..::-..._�-. �:.:.-:.......19�_'� <br /> l..- ... . <br /> ' Tast�ll..._..-.::.�:............._..inch water service pipe <br /> ,> / � • , <br /> , ; -, �: .._. <br /> .._ <br /> For ....._�-:.....1.......:....:._. .�_._C'..................... .............. .. . ............. <br /> /i �� —� . � <br /> � �,�f 1 , ' .� �� •- •--... <br /> On ............... ........... ............. .-'-..;....:.:.....:.:......................._�........ Street <br /> Lot.............................................................. Block No..................................... <br /> Adi?iti�n ..............-r.=...............................................,................---/��-•=� ...... <br /> Remarks � -cv,91Gc�_„-c. �� <_.�(.i ,..�..i Lr_�s�.,_, <br /> � <br /> ...... � ................._..�..._..�...._...........,``'•i--.... --'- <br /> T....... ,/ / ....... <br /> ��"S� -1 n �4i,:. !_'<.�.:1�-:.>..�:'1:::/.(...t*'..��2��L <br /> ..............�....- ....:............ ............-- <br /> ............_...................................... -� ---...._/'......_...._........ ............---..!:.. <br /> . �J ��........._ G�}�y - ,..........� <br /> .... .�'. ..... _.........--...............:•.. ......,_... ,. : : ' <br /> �7 �� I �r� r;� ............ <br /> .: .:.r.....:.._ ........ � . <br /> ""' <br /> . :C....... ........................""..."_......!'.w. �:... .... <br /> �� �� � ���� ' Super�tendent <br /> � �� �:J <br /> LABOR AND MATERiAL USF.D <br /> No. ' Size I -- <br /> --- '-----�-- <br /> -..........._............................_. .._�'� Lead Connection ComPlete <br /> ...........................__.f................� Saddlc Completc <br /> ...........,_�.�St.....�<..::f........... ...__....._....._.........._........................._._........PiPc <br /> ' .....'� ,, , . <br /> ........................:... '.:.�,�:..__ Serv�ce Cock <br /> .........................::...._..................... Scr.icc Box <br /> I ......._..._........__......_....._..................................................---..........._... <br /> .............................................................................................................. <br /> No. Haurs Labor.............................................Cost......................---.........._............. <br /> Cutin....................Pavement....................X........................ ........................Sy.Ft. <br /> , <br /> ,�!/ CR.3 -.-:� .�_..:. ....................X....................... ....................-- <br /> ;,. „ <br /> ....................X........................ ........................ <br /> ....................X........................ „ <br /> .................... <br /> Total ........................Sry.Ft. <br /> ----- -- - — <br /> , .. �r, � <br /> �, _ `4 <br /> Re m a r ic s..............�:..,-.:.<.::....:_r.a.:_�:e,..._........................................_.............. <br /> .`� �J 1 <br /> _. ........................... ' .....5::�.........L..c:�`..:c.-.C:.r.::.:a....................................... <br /> .:,. <br /> Order !?�ceived... ......................................................�.................................. <br /> \Vork Completed..:.::...::'..:�..:..1::._e...........:::�-...::,...:...:.:: .:..........__- <br /> Fd'icman <br />