Laserfiche WebLink
:. J. PHICPC�M�� �� _ , . � <br />w. U. f�RM <br />CITY OF EVERETT--Water Dept. <br />App;;cation No.,..::%r�::�.... Date ............:G:s �::�':...............19.1i- <br />Jnstall......:,'..;/ ...............inch water service pipe <br />� � <br />For............ ....:..........:.��r.r.K.u4..r.................. ....................................... <br />' u' ...:..................._......................... Street <br />On .........�1!�'.�.-......,,Cz........ <br />I,ot....��..-/...�? ..................................... Block No......��: �.:�-. ---- <br />:lddition .......................... ........... ........................................................� .... <br />Remarics :J�t:c:-.�-...._t1<..:.-�:-�,.� . <br />......v: . ................................................... <br />_..._.... : r� r ,:,:. ....................................................��--.......-�---............. <br />j._.�......,..� , , . <br />«l�t�� ��..�.T..,..�l.:�u,,::::eL.—.......--��•— ................. <br />....._ .......... ......... ......_. . _. . . <br />FtL? i�? i�ci0 /� <br />_ ................. 1.�...:...��:�.... . . <br />J: /%�rt'�'_ -.,y.� �%!. 7' .................._......._............................_..' <br />i <br />-• :. � � ..�.0 ...............................(��...._.._c:,:.�-� .... <br />_ ..............�j�� �.,.....i.; i,�. .� a —' Superintendent <br />i%'�/�� <br />LABOP. AND DiATERIAL USED <br />No. I Size <br />._._ ................................................I :.ead Connection Complete <br />__.__ .............................................� Saddle Completc <br />._ ..............:.....ii............................ .......'_^._.:.'..:'....:......................... ....__........__.Pinc <br />..................... _�............................. Service Cock <br />.._ ......................._...............:......... Ser��ice Box <br />No. How�s Labor............_ ..............._.........__.Cost........................._........................ <br />Cut�.r ................... Favement....................X........................ ........................Sq. tt. <br />�, , <br />, . , . .................... ....................... ........................ <br />, , ..,. . _-.., ..._ ..............X........................ �� <br />� ........................ <br />...._._...........X ........................ .............._........ ,� <br />Total ........................Sq. Ft. <br />_----. .- ..--- — <br />hemarks...._ ..........................�a..:tr.,:._:._::<x..�:.�................- ......._............... <br />OrderReceiced ...................._.........................._ .................._......_........_...... <br />R'o��t: Comrlc:ec�. .. �:�...... :._ __._. ..../.' ......: �.._..... _.._,'._ <br />Foremap <br />8 <br />