Laserfiche WebLink
/.r / 3'OG � '� `' <br /> � i .r-� <br /> � <br /> ,wC o� rOnrn ;� <br /> CITY OF EVEl�.ETT--Water Dept. <br /> APPiication No�,.'1��:.L.....�. Date..........�...�........................19.L:.�� <br /> instr,ll......._.._.. .............inch �r,ter service pipe <br /> � //� � I <br /> For ...........C.:�.-��.��t.....4Z«.t.c:.�.L ............................................. <br /> / /' <br /> On ............�E-�,.,_. ...�:�[:'u.o,... ,4.<�.��......................... Street <br /> Lot..2x11........�O.14�c.l�.�.iv......... Block No................................--• <br /> Adclition ......................................................................................................... <br /> Remarks ............................. .�� . .. ...... .. . . . . <br /> /..' .. . <br /> ...................�--.............. <br /> ...... .........................................C..:�2r�.s���t.: st.�:t�..........._..............---..... <br /> .............................................................................................................................. <br /> .............................................................�----............................................................ <br /> ........... ................................................................................................................. <br /> Superintendent <br /> 1%.BOR AND MATERIAL USED <br /> No• � Size I <br /> -- — — <br /> ..................................................... Lcad Connection Complete <br /> ..................................................... 3nddle Complete <br /> .......................f t............................ ......................................................................Pipe <br /> ..................................................... 3crvicc Cocic <br /> ...................................................... Service Box <br /> No. Hours Labor......... ...................................Cost.................................................... <br /> Cutin....................P�•.,e�iuit...................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> . �,•`-� <br /> ....................X........................ �� <br /> ......'-............. <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> —�--------- <br /> Re�n arks............................................................................................. .............. <br /> .......................................................................................................................... <br /> .......................... ...................................................................................... ......... <br /> OrderReceieed.......................................................................... ............ ...... ': � <br /> �Vork Completed..................................................................................... .... <br /> Farema � <br />