Laserfiche WebLink
1 <br /> S.J.Priefie�M'1-J6�bt' � �/ ^� \J <br /> O/.D.Porm J <br /> CITY OF EVER�TT--Water ep�t. <br /> . �' � ; ,......is.;;.:� <br /> ......,,.. ....... <br /> Application No..l..�..�...�........ Dpte�..................._ , , . <br /> Install_..........:...:'..'.......-...inch wat�r service pipe <br /> �. II <br /> �l�. �.1. . . t .' ,. s�s. 1.....................................--- <br /> ....:::.:..:... ..............._ . <br /> For ......................... ._ r•--, <br /> y �� t,.� _ Street <br /> ,,..�.d.................:5...... ..........................................._---- <br /> On ................... <br /> ...............................•-- .. Slock No...........-----........._--...._ <br /> Lot............... ._� - <br /> i . .. .' ,........./..._k..:..`.L_�...Y........... <br /> Additi�n ..............?'.:•.....:......_::....:.....:.:......... <br /> , ....---.............................................. <br /> Remaz•ks ............................. - <br />, ....._..�-i:...... . ; . <br /> . . . , ,. , '. i <br /> , ............................... <br /> r r .......:................ <br /> ..-. '. '...:.......:...... <br /> . ._..'.:.:S"'..... <br /> _._......... .......................J..�.............�............... ........ ... ...... <br /> .. . .. ..__ <br /> _ ` ;......--�-;�������-......_ � <br /> ............ i...... , !.,.� _ <br /> ..:.:... , . <br /> ............................ \ ✓ %!. tif�-:.:---- <br /> OyG� ' ' <br /> ....::...:................. <br /> .............. <br /> ..... <br /> ............... . <br /> --��---�----�""'''.� uperintendent <br /> �r � : I — �` - <br /> �� ABOR AND AiATERIAL USEU <br /> No. Size . �' I - <br /> ---_ — <br /> ............................ <br /> ......_„_.,....... Lcad Connection Complete <br /> _......._........................................... Saddle ComPlete <br /> ................. <br /> ................................................ <br /> ......Pipe <br /> ....................... t............................ . <br /> ................................... <br /> ___._,_......,.. Scrvice Cock <br /> _ .._....................... Scrvice Box <br /> .................�'o.•How�s Labor................... <br /> ...........................C o s t.................................................... <br /> ........................Sq.Ft. <br /> Cut in............_......Pavement....................X.._.................... �� <br /> ........................ <br /> .................... ........................ �� <br /> � ........................ <br /> .................... ........................ �� <br /> . <br /> . ................. <br /> ........................ <br /> ....................Potal <br /> ........................Sq.Ft. <br /> —- - —• i ,' — <br /> - / ..3/ ,� '�.� 7.�:,..'::.......................................................... <br /> ......... .._......�._ . <br /> Remarks_.p� � �y� <br /> Order Received...................:.........Y.;.,_.............................�...i_�i-........:� 'k.'... <br /> 1 . ' � <br /> \\'ork Completed.."..1................ ....... <br /> �............................. ..it.c..-�Foremaa�� <br />