Laserfiche WebLink
V/ � "'1 1 I � <br /> �ti� PPI[�Y p • <br /> W 6 IORM � � �'� <br /> CITY OF FVEKETT--Water Depts�� <br /> Applicat:on No......�a2.2;./� Date.........................f �3/..... •�� <br /> i 19....: <br /> Tnstall............_.-'.a..�'?�...../lnch water service pipe <br /> For ......�.�:� . .....,,,�... .Q �rtl............................................ <br /> Ori ...............���.....��R.� ... <br /> �• �� . Street <br /> .............. ...... <br /> Lat................................��................... Block No................_. <br /> .................. <br /> A�iilition .. .......... .. <br /> dj�J .....................:.............................................................. <br /> �emarks .......... ./...!-.�: �,�*ie./ <br /> .... .O ............................. <br /> .............. <br /> .................................. ........................................................................................ � <br /> i <br /> � .. . <br /> �,� .. . F.�.................................................... <br /> .... ......................... <br /> .. ..... <br /> ✓AiV �. �. . <br /> ,��...�.�............ .. ... <br /> (' r . �5 ,3b�/�................................................�. ... ....... <br /> •J o/ ..:. ... .........:..�.. . . . . ...........................................�.....�._�_ .t.J <br /> ���TFI�� Superintendent (ny� <br /> LABOR AND MATE6IAL U9ED <br /> No. I Size i <br /> -- ----- <br /> ---— -- <br /> ....................................................I Lcad Connection Complete -- <br /> ............... . ................................... Saddle Complete � <br /> ......................IL.....J!x�............... ....(.'�. ...`:`....". <br /> , �� ........._...................................Pipe <br /> ...................f..............�/Y.......... ScrJicc Cock <br /> .........................__........�..._.,......... Ser�IceHox <br /> ............. <br /> r'u. Haurn Labor.............................................Coet............................................. <br /> ..... <br /> Cut �.n..._...............Pavement...................7C................. ........................Sq.Ft. <br /> ...... <br /> 3/y o��_ .................x........................ .. .� <br /> ....._............... <br /> ,�c�/,,� � ....................x........................ �. <br /> ........................ <br /> ............X........................ .� <br /> ....................... <br /> Tota2 ........................Sq.Ft. <br /> - - -. � --'----- a <br /> ��.� ' G/ <br /> Remarks.................................... • �.� <br /> ��a.......,'�t..,,�,, ��f................................ <br /> . ...._. ......._..................................�..t,..C.�.w...__�'?.!l,.....o.,.i.n:�a............... <br /> ...................................................... �..el.t7W.t�lr.�.................... <br /> . ....................... <br /> qrder ;'eceiced........................._ ........ <br /> ................... <br /> ..�................................ 1 <br /> 5`�ocF: Completed.'l.c..1..�.5..:�...._.................,....'�.!.�_t.a.tr.�............... <br /> Foreman <br />