. ����� � '
<br />S J ^�iebe4>f7d"o15>
<br />'�V� U .F�rm 3 • �
<br />CITY OF EVERETT--Water Uep�.
<br />; _ - ,� , ,�;
<br />�;� i:.,�. _ .
<br />!?pplicntionNo........._....._...... ,I',ate......_..,'...'.:..C...._..�.(:_._.._1J.:..:
<br />`� ^ Install.._; ���.... ......._incl� water service piF,e
<br />��
<br />r��• _..__. ....�.....:.,:..�:/R .::....:..........:•....L,..:.:....:....,�....�./.,....�, ...
<br />....... ...
<br />� _ r='-
<br />` � �_ . �.�
<br />/ _
<br />On ..._......!. �::r..i.� /Yl/- �..�:..::...-:. :..-,i�... Street
<br />.. - --' --......,.
<br />L�t............_...._ ............................. � ..... Block Tdo..................................
<br />Addit±mt ....__/c ...._....
<br />..... .. ............
<br />.�, � �. ,. .
<br />I,,, . ,� / � ,....__......./.. � ,c. / _-- �,!J'' _.........
<br />�, r.iarxs ...r..:....:...i'..C,.L. �_....... ..- - `- •. ,
<br />__.........__.�,. ..._ . • _......._......_ .. . ................. - ---
<br />_
<br />��, i -
<br />� ,
<br />....._............
<br />o*'� S'4�1(AA +G./�'! /
<br />� .
<br />, � � , �-
<br />/,..5���, •,. � �_ 2 ... . .. ... . �... ,�,... �....:... .
<br />j ��"o�'' �� �i�, �' %% . Stypermtendent
<br />i � \��� � ... i�, r . . .'i
<br />���__ " �>"_-- —_'_"_--' _ _— —"—_
<br />"� � yP�°'/ r.AF,OR AND ]VfATEd�n[, uscn
<br />� ��o.,c,. i/ Sizc �,
<br />__��'�-.=��f._--_�.__—_ —_—_.— _
<br />.__ ................_....,......................._., Leaci Counzction Complete �� � '.� . ... `.�.. ..
<br />.................._._............................, ;� mpletc ��� '-
<br />, � �
<br />...._.....J." ....ft........_3._,._...-.... I ..c4�•�c!.-C� .'.._�.::..� ....:........................._...._Pipc.
<br />� _� �, c.;.;., ck
<br />�
<br />. _ ............ . ......... ....... L.. ...... . . _.. .
<br />.-->„ � �.�.�,i.
<br />_.......J ......... .. ......_...:....c._...� ficrv;nc Box
<br />,
<br />� � �
<br />,
<br />• ,. .,:„ �
<br />_ ... . .......... ....: f .. .. _. .. . ......, _. _ ... _ ._.
<br />i ....
<br />_...._.....� ..................._'.:............. ._..:'...., ...; -.::.._._.........::......_._.._:..:'....:.. .......:......::.
<br />.................................. _____....._...................................._.._.......................................
<br />...........� __ _ __ _ ........... ...................__....._....__._..._.................................._..._.._...._.........__.
<br />DIa Hou�s :.::bor .............................._...��.:I.....Cost..._..�:�
<br />Cnt ai......_....._.....Pavemcnt ................._X._.....................
<br /><�'.................... �.......
<br />I 1�3 ���` ....................X......
<br />„
<br />- �
<br />. � ...._...._...... X
<br />� 1 �' ���� �1��~ 'Cetal
<br />— _._— --- y; _. _. . ....--- . ..-----
<br />R,.mar1-5........-- ................._.._._.............
<br />........................Sq. Ft.
<br />....................... „
<br />.. ..... '
<br />..... ........-........Sq. Ft.
<br />............ _ ............................
<br />__...._ ............ ............... ..............--................. ......... ...... _............_.......... _.......
<br />�rder Pecr•ived ...........................- ... _..__......... .... .............. .......__...._
<br />',,"��:b: Comp'.r.ted... _ _.._..._.... ..._........___._... _._..._....... _...._.........._.
<br />Fr,ranan
<br />w
<br />ta
<br />
|