Laserfiche WebLink
5 ).PricGe4M7-46 ` �i <br />W. D, Form D Y <br />_ C , �O�E ERETT--Water Dept. <br />Application No...i:.:.l ......:::..... Date,.........:.....:::........,:::::............19:...._ <br />�lnstall ..........:.::.:. ::...........inch water seivice pipe <br />r^or ..._ ....................._....................---...._......_......_........... ....... --.......... �---- <br />On.................................:.......:...........:..'.:::::...:....... ............--- ......... Street <br />i: � :; <br />Ln±....._ .........................c:�'.......-----'-...... Block No......._.::_--.Z................... <br />:�ddition ..................- ........:...,:.................._............ .................._....._....... <br />i,i <br />�f ......... .... .:....-- --..� .:.....:.:._......:.......:...f..._.....................----............-- <br />_�emarks r _`/ ........ ..........1..... _--............................... --............. --�-----........... <br />{ � ................. ........................... . ......................---- <br />.c.� ..............7.....f...._...... � ..^........................ ....:._..... . ..._............. .................. <br />LA60R AND MATERiAL USED <br />No. Size <br />Superintendent <br />.._ .............................._..................I Lead Connection Complete <br />...................._ft. _... _ i:�:�.`C..........�I Saddle Complete <br />. . . , . . .,./ ..........................................Pipe <br />......... �... ........ . . . . . ....... . . .. . .... <br />. �........ . . .. <br />......._..........._ ............._................. S�rJio: Cock <br />.._._ ....................�__.......................i Scrvice Box <br />No. Iiours LaUor ..............................................Cost.................................................... <br />Cutin......._....._....Pav�n:^nt_ .................X........................ ......._...............Sq. Ft. <br />....................X........................ ,� <br />........................ <br />....................X.................---.... .......... ........... ,� <br />....................ti........................ �� <br />� Tata] ........................Sq. Ft. <br />--- ----- <br />--- <br />P�emarks .......................... ......................................................... ................... <br />Grder Received ..............................._.................. <br />\7ork Completed......d./..�-L j:'=--�'' ................... <br />Foreman <br />