Laserfiche WebLink
,� 1 ? ! � - <br /> ll'�D Formiy:.':.'� � �. � . <br /> CITY OE .E\/ERETT--Water Dept. <br /> Application A'o........:....._;:....... Date...:.....:............... .................._.19.....� <br /> Install..........:..._...............inch water sei��ice pipe <br /> For .................................._...:..............:.........._..........................- ...•-............ <br /> On ...........................:.......:.:..._�................:........................................... Street <br /> Lot. ......................................................... Block No....---.............................. <br /> �ddi:ion .......................................................................................................... <br /> P,emarl:s ............:.i........_................................................................................ <br /> ..........................:..................................:.:_....:...:...................._........................... <br /> � <br /> ...:... - <br /> _ �_..... .. --r............................................................_..._......_.................. <br /> " ° � � �fc-�� � � � <br /> . .�:.......... .. ..t.. ....................................................--............................._........::: <br /> . ' Superintendent <br /> .� �- . - .. � - . <br /> LA60R RNCi DtA'PF.RIAL PSED <br /> No. I Sizc <br /> ---- . ... —_ ..------ - — --- ----------- <br /> .__.............. ......I......__......___._.. ].c;d Conncc;iun Complcic <br /> ..........._............�.................. ..._._i °addleCmnplete <br /> .................._...ft.�...._............_.......� .... .................__._.............................._...........PiPc <br /> ............_........................................ S^_rvicc Co:k <br /> _........................ ......................... Sc:vicc Acs <br /> Vo. ISou.; Labor............_. .__.........................Cost......._.................._....................... <br /> - Cut in......_..._ __..Pavement_........_.......X............._......... ........................Sq.Ft. <br /> /� �' .. y .........__.......\..._................... ....................._. �� <br /> �' 1 ✓'�i <br /> ........................ �. <br /> �� ....................X........................ <br /> �1........................ u <br /> � �, a� �e .................... ........................ <br /> � <br /> ,,_r' /�-�, 4�C� Total ......._.._...........Sq.Ft. <br /> ------ �� ----T–-f�—,-.,-� . . _ <br /> Re*iarks� . .........._ .!. .l,,.s..........,r,�"r:t;� x!�„��.____.............�...��.... <br /> F^ � ° � ) { <br /> . ....._. . ............................................_........... .....:..................4..j�J�tl.FLf C�.. <br /> .................... . .................................................................. ... <br /> �l�C.�_............. <br /> OrdcrHccci�•ed.........................................__......._.... ...:i�._........._............... <br /> �'iork Completed.��;...::.?r:::.:'»:..r..:.�..��....................................._. <br /> � Foremar <br /> I <br /> I <br />