Laserfiche WebLink
• - W. O. Form J ISGO J-I-!7 G. P. _� .. <br />' ~ ;l'rY OF EVER�TT�`��ater Dept. <br />S Date------�-�- <br />z �-._ . . <br />APPlication No. �!- ---- ��/ <br />In�t<dl____-'1-'�°--"--'inch water servtcr PIP� <br />,��cx=S---- ----- ----- <br />�� ��--- -- ..Street <br />ror---- -'------ � <br />On__�--------- ------ --- -----zo-�-- -'I_g- --- <br />-------?;!ockNo._l_---- �- <br />Int � �`=�''1_ ----- -- ---------- <br />---- <br />----- -- --- <br />Addition------------- --- <br />-- ---- --- <br />- ------ <br />--------- <br />Remarl:�----- ---- --- <br />--__ ------------------rn---�-- -------------e1?���.�-� <br />---' — U- �-�`-L �VSuP�ntmdent <br />- _ -- <br />�-__ <br />�- LABOR AN� MATERIAL USED — <br />------ _�__ _ - <br />�� <br />..._.- <br />�,cad Connec[ion Cumplcce <br />"""" <br />__"- <br />_"'-__"' ..___._ S:�ddleComPec <br />Pipe <br />"_.. <br />< t' r7 �'7 : <br />"""_'__"__ --'____"___'_' ,,.05 <br />--it. - -7r � — . <br />-"" "' .� �: Se�vice Cuck <br />_""'_/""'_' "-�-'�_ ServiceBox <br />nt5-�7G=7= -- ^.b.`�c_'."'.-'-'-------- --- <br />----' ---'--- -3 .( • 0 c ---�---'--- --•---�-----" <br />�-"'__ __ _'L" .`�)ly�-..t. ��`I... ' QJ"�<_' <br />___""_�'_""'" .��'¢ ' � . . � _�p�._""_"_"_'_'_'__'__'_' <br />--�--'---' ' �� '��.> - '7F_7. -- --__ <br />y.._ . <br />--- ---- <br />-- <br />--- - ' . � ,���, <br />-----=�------- ���-- -- - - �n�c,F_-.�-�""'- -�-iv �2—�---- <br />9-- -� u'`-"`�`_>`��(cy..—:���- � <br />--- �---- ---g - , <br />--�- ��J.: <br />_Cost_.----------'-----'------Sq; �Ft. <br />�I---' --- - - <br />__ ---- <br />No. Hours I.a �nr--------' „ <br />...-_ Pavement---'---'-X----' �-- <br />• '---- <br />- <br />Cutsm--'----� .- --'----�'-�- �� <br />-- <br />- <br />---"------ <br />-- - <br />.. _.X-------'--' �. <br />-- "- ---h--� ----- �- �_ <br />--'--"`- <br />_S4. Ft. <br />Totai, ---- <br />�— _ _ <br />___...____'_"_ <br />_" _' ' _ .' <br />Remarks----------- ---- --------- ----- <br />prderReceive�l .--- ----- .- ------- --`i%i�*-r/.u""'i. <br />_ - <br />Work Co�------- ---- �-- <br />- ------- - Foq�'I�:e. <br />� <br />