Laserfiche WebLink
a �. 'niee �a�u-• � � � • _ <br />W. �. r�p� �CITY OF EVERETT--Water Dept. <br />�a y.�- <br />Application No.... �� � �`i1. D ef .. ....... ...... `:�r................19.`�� <br />Install .; �.....: �/..�,....�.inch water service pipe <br />� / <br />-.C-r�rr .. .�✓�.::r.t.�..'�-�./C.D <br />For ....:....�.---......._E.�. � .....................•--......._...-------.... <br />on � _ •r�l�i <br />. ... <br />....................�..-�---........_.....- •---.......—........................................ Street <br />Lot................�---•--..................---�--•--............ Block No........-••......................... <br />Addition............. .............................................�.�.. �..........-•-•---.................. <br />Remarks ......��...�..g:�.'./.'.�. h.r r [:--...._C.!..._:l'-� �:'2.:tc ..:-'` ,,'_ � <br />............... .... .. <br />, , - , �. <br />:............._:. .�:f..r..... :....................._...--�----........._...1 _ <br />; ft- � ,'. �` - ----... ... �.:%.:. <br />�- �{- r� .3 � Superintendent <br />LABOS AND MATERIAI, IISED <br />i� <br />....................... ..�........................... Lead Connection C�mplr.te <br />..................................................... �nddle Complete <br />Y;.� � . <br />.................:.:.:.it.......:;...1.............. ......L:..i:... _.it ` • . .............. <br />........._. <br />............._ .I................:.:%............ Scrvice co k <br />...................._:......._.::.�.::a:.::...... Service Box <br />...........� ..........................� ............................................................................................ <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Paven�ent....................X......._............... ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ .. <br />........................ <br />Total ........................Sq. Ft. <br />RNrnarks i _. / ..1 .. i �. .. <br />.......................................................::...c.r........: :-:.:i:L:.....;,�.�.y.Y.t(.:L.�........... <br />. . .. . . ..... . ... . . . . . . . .. . . .. ... .. . . . . . .... . .. "' ". . .... .. .. ... .. ... ... .. .. . .. .. .... . .. .. .. .... .. . . . ..... . . ..' """"""". .. . ...... <br />OrderP.eceived ............................................................................. .............. <br />R�ork Completed..G1.':..:^....:7--.7 :.................::. �-�...i..�::�:!.:'.:f::-`�. <br />Foreman <br />