Laserfiche WebLink
� <br /> -158 � 9 --- - - - <br /> ��.�-�i <br /> w.�U. fOMM ] <br /> CITY OF �VERETT--Water Dept. <br /> Application Noti.'r�Y%. Date............/..-.:i:;�-.%.................19�..-� <br /> 7nstall.........��yv..........inch water service pipe <br /> �; / „ y� / <br /> For ........L1_.,ti!./!,..�...r./��:__:....................................................... <br /> �/,. ,. i , _ <br /> On ...........:•T.-. .,Y�,.1.::...._:,.:�!..__:...z:�rc:.;.=-�......................... Street <br /> Lol.........................�.......................-�/�:«��C�k.No-::'... ........................... <br /> Addition .._..�...�.�...�.:...../..!:. . — . .��:.�.:c::�.-..---\ <br /> Remarks .................................... <br /> / ......(................................................................ <br /> ...............'..{,�,..25'�J..:f:.........-.FS:.�i.`:.GFS:......�"l..'.........................._........_". . <br /> / <br /> .............l............................................................................................."'................ <br /> %� � . <br /> . �:::.� . .t�-�_ <br /> ......... ....�...........„«5.:.:k......._4_:.................................................................... <br /> i <br /> � /✓�i /. l. /�![ <br /> .................................L<......../�L'.�.... <br /> ......................................:�. .P..... ..........�`.y <br /> � � .;i �i Sc erintendenY <br /> _----+�--� J�� <<- <br /> LABOR AND MATERIAL U9ED <br /> No. Size I <br /> --- — -- <br /> ..-................... ....................._�Lead Conneclion Campletr. <br /> ...... <br /> ` ...................................................... Saddlc Complcle <br /> .........._..�.........ft............................ .........:..............................................................Pipe <br /> ........................................_........... Scrvicc Co^k <br /> ...................................................... Service Box <br /> ...................................................... . .. ............................................................................_.... <br /> ................................................... �'::�:c:::�::�s=.pr-..s............................................................. <br /> , <br /> ::::::::::::::::::::::::::��::::::��:::::::::::::::::: �:���::::::::��:'::::::::::::::::::::::::::::::::::::::::::::::::::_:::::::::::::::::::::::::: <br /> No. Hours L�bor..............................................Cost.................................................... � <br /> Cutin....................Pavement...................X........................ ........................Sq.Ft. <br /> . . ....................X........................ ........................ .� <br /> .....................X........................ �� <br /> � ........................ <br /> . . ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> ---- �----- ---- -- �-- - <br /> i ; <br /> Remark:;...........�,.......-...a................................................................................. �, <br /> ......... .........:..........:.................................................................................... <br /> ...........................................:.........:....................................................................... <br /> OrderRecci�•ed............................................................................................... � <br /> \Vork Complcted._'.......::.::........_.........................'..:.......:.:...:...................... <br /> Fareman <br /> K,:•_ . <br />