Laserfiche WebLink
, w.o.�o�r a �/�� • r <br /> I� f/ Acct. No�..��r..� " ''�'J'� <br /> .....�.-..... ._... - <br /> ' � CiTY OF E�!ERET.T—Water Dept. <br /> � <br /> •i .. / -G � ....._--..19........ <br /> Appllcation No.../.7.1.2.�./...... Datc...........:-............. .....� .. <br /> lnstall................................ inch water service pipc <br /> Owner............................................................................../............................................. <br /> Address.......---.1P._.`�,?�..�.._.......�4:�......�.�i.........................................- <br /> Lot..............................................................Block No................................................ <br /> Addition...........................................................................................�---.................-----.. <br /> Cuntractor.................................................................................................................. <br /> Rem a[ks.....................................................................................................................� <br /> ...................<l.'LL�}:.................................................................................................. <br /> ............................................................................................................................ ....... <br /> Amt........................................ Rec.No...........----....._.............._............................... <br /> , � �/i <br /> IIy........................................1�.�.:...:�SJ.S��c+�:.,....... <br /> Superinte�nt <br /> ��� <br /> .............................................""......................................."'............................................ <br /> ...................................................................................................................................... <br /> ....................................................................................................................................... <br /> .............'-'.............................................................'--........""........................................... <br /> ....................................................................................................................................... <br /> ............................................................................................................."-....................... <br /> ....................................................................................................................................... <br /> ShopRemarks......................................................................................................_.. <br /> ......................................................................................................._.............................. <br /> .................................................................................................................................... <br /> ......................................................................................................._......_...................... <br /> ..............................................................................................._.............._...................... <br /> ....................................................................................................................................... <br /> ...................................................................................................................................... <br /> ...................................................................................................................................... <br /> �Vark Completed_..._..............._........................................._........_...._...._.........._. <br /> Foremnn I <br />