Laserfiche WebLink
9 d. iflGdi 9M 1 1��� �� '�^ � <br />W. D. I�NM ] � <br />CI�'�Y OF EVERETT--Warer Dept• <br />, , , i ; , . . .is.::... <br />. .. <br />.. . ..... . .. . <br />ApplicationNo......� .................. Date.,.....:....'.............-- . <br />Install.......-.: %.,:-•-•.--....-. mcl� water service pipe <br />For .......... .. <br />.....'..... . <br />.....................- , <br />� <br />i <br />................... Te- <br />............................. .. <br />.. ........... <br />On ...................:............. <br />.. ... <br />........................... ..........•----..... <br />Block <br />o ..................................... <br />.....� :....................................... <br />A�dition ................................. <br />L o t ...................................... <br />?:emarks ......................................... <br />:................. <br />.................._. --�-----................ <br />; .:............_. <br />, ' <br />....::..................._'...................................................... '.......:..._�........... <br />I� ������ � �SvPerintendent <br />_ ..........................................._.. � . <br />LAIIOR AND hS/f.TERIAL <br />USED <br />—�---- <br />I Lead Cunnection Com�plele <br />, ,t � <br />, �addle Com�lete �,(";:., . P�t��, <br />I (,� '..! ............. <br />. .....................1... <br />. ........................ ., <br />, Sercice Cock <br />. Service Box <br />_ _ ......... _ ................. . .... <br />.......................... <br />No. Hours Lebor .................................................,_...—._.... ........................S9.Ft. <br />Cut in ...................Pavemcnt..._............._X_..................... ........................ �� <br />.................... �� <br />........................ <br />....................X........................ �� <br />Sq. Ft. <br />....................X........................ <br />Total .................... <br />.... <br />:LLmaim........--- - ..-`--......... <br />. ................. <br />.......................................................................... . :+...... �..... <br />'. .. ;7 i , C_�-� <br />OTCIP.I Peceived ................................................................._✓-::�.................. <br />5..:.. `..f::�. <br />...................... Forem n <br />\Sor}- Completed ..........:.::............ <br />