Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
... �...iau�c'.<I,��'�i�O1 � j. ..j. <br />��. U. FLf]M � � <br />CITY OF EVERETT--V�later llept. <br />-, . - . . <br />� <br />Application A'o.�>..: �..t� .' Date...........:��.-.. :.>.'..f ..............19':.. �. <br />a - <br />, Install..........;�� .:............inch water service pipe <br />i':.�r ..---�--,%1-�`�:tc-........:`��T:�.�.-:i.:..�v ....................._.................... <br />� ,; .`l � ..h. <br />On .._.........�:c.::•"-<(. - !'" ..................................- .... Street <br />............ <br />i,o:.. ........._.��..�rf:._ ............................. Blocic No..................................... <br />:�ridition - �. <br />....._ .......��'.�^�c�....,-....-�a. .�':. <br />�" -'. ... _ .............�--`-....-----.................. <br />remarks..............--............__...._ <br />� _ <br />,.. _ , � <br />__ .................-.:..<r..,:<�:......: -. ..�...� <br />�� <br />= a <br />p;',Ci_!� <br />: <br />..,, 3 <br />t',; <br />..z.L�1, _ <br />�, t."-_` = `�.='. ' ................................-- <br />i �� , <br />_..... ...._... _ . , <br />_._. .....................t_,,......c._: ±........._.......... <br />Superintendent <br />--- - - i >> ... <br />LABOR ATD hiATGRIAL USED <br />Na. '� Sizc � �� <br />. . . _..__.. - �--'----- — --- <br />.._.....__............_� .................._.......i iead Connection Comptete <br />........__../ ............................_...... i Saddlc Completc <br />_........./.._ft....�1<:� .............. . _.... <br />_ _ ............................. _.... <br />�. , <br />.__.._...._..........t.......:.r• ................ Scrv;cc cucic <br />....................... �.. :...............:......... Scrvice Box <br />� <br />'�T,�. Y.oura L:�bor........_ ....................................Cost........... <br />C�:t in_ _.....__......YavemenL_......._........X ........................ <br />�-; ; . . �' . . .._ ................X.. <br />� ...................... <br />� ._... _._........X_........__.......... <br />P;�� <br />_ _ _ ...................... <br />........................Sq. Ft. <br />m <br />....................�. �� <br />....................... ........................ <br />Total ........................Sq. Ft. <br />— --•--- ---- <br />—---�--- �--- -- --- -�- - <br />. ' - --- <br />n,�^�.at'1+.�_........___...._ ..............:i......tL,!: �....:� . ', .. <br />.:.:!'......." ................................ . <br />. <br />. . __ _.._..__....-----.........._.......1....0.....c.:t....J.'..��r.::...:.� .....:.:................._ . <br />.. __.......,.....,.__ ................_..........L._�.,x..._....:.c...�:::....._...._........ ..... <br />OP(�BY ��_l:Cl1CC:�.....__ .................. ........._..'......_�..._;..._......_...�;_...._.... <br />\t nrl: Com�.lcled `r � � -_ .. _........ . __ _..___ A <br />I'arcniar <br />