Laserfiche WebLink
:-.> <br /> - -- ------ �--- <br /> - �`.�97 _ � _; - ,-,� � <br /> w. o. ro�u :r " � <br /> CITY OF E'JERETT--Water Dept. <br /> Application No..�C..:�..��.�.I.. Date.......:=?:. .L..........................19.�..`� <br /> install...............................inch water service pipe <br /> For ................................ ' . �................... ..................... <br /> �......_........................_,; <br /> On .....L_(.�:^_�.....:��fi_�c:C.�_Cl�.�-�f.....':.:�_2.�.5._...... Street <br /> Lot.............................................................. Block No......-�-�---...........---.._....... <br /> Addition ........................................�--............ <br /> ........... ....................................... <br /> Remarks .......................................................................................................... <br /> ........................................................................................................................... <br /> .................................... ........................................................................................ <br /> �. <br /> �..................... .... _._........ - ................................-----.................... <br /> ,..............: <br /> _; , r - <br /> �, :._ ; <br /> ..........1................ ................................................................................................. <br /> � , �-� _ �� .- Superintendent <br /> ` � ^ <br /> LABOR AND MATERIAL USED <br /> I1o. Size � <br /> .... ........................................... Lead Connection Co�npiete <br /> ...................................................... Saddle Complete <br /> ......................ft............................ .......................................................................Pipe <br /> .................................................... Service Cack <br /> ..................................................... Service Box <br /> No. Hours Labor..............................................Cost.................................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ ,� <br /> ........................ <br /> Total .. .................Sq.Ft. <br /> ---- --- <br /> Rema rks......................................................................................................... <br /> ......................................................................................................................... <br /> ................................................................................................................._........... <br /> OrderReceiced.......................................... .................................................... <br /> \Vork Campleted........................................ ................................................... � <br /> Poreman <br /> _t_ . <br />