Laserfiche WebLink
!i. J. PFICtlE 3M /V � /� • . <br />1 <br />W. D. fOYM ] r � .:.. , $' <br />CIT�' OI' E�JERETT--Water Dept. <br />A lica_tior !`lo._....._...z.`� _..v Date........ � :-��5::?�:.:�_.....�..........19..t1.! % <br />PP ` <br />7nsta1l... . ��nch water service pipe <br />F�:• .................................. ...................../........... ... <br />5`�� .3� . � -� (,. .......... ........... .. . .. <br />On .. ..... _� -C�.S:.`.�:�.(..... r��.c ...:.................. Street <br />Lot.............................................................. Block No................................ -•-- <br />arl�lition ................................................. ..................................... ........... <br />Remarks ......._....--..... - - <br />.................... ........ ....................................................... � --.......... <br />Superintendent <br />LASOR AND MATF:RIAL USED <br />........� L?ad Conncetion Complete <br />_.......� Saddle Complete <br />_.......I _..._..........___ ................ __............................Pipe <br />_.......I Scrvice Coc}: <br />Service Box <br />� <br />No. Hours L�bor ........................_....................CosL.........._....................................... <br />Cul in .................._PavemenL........._.........X........................ <br />........................Sq. Ft. <br />....................X....................... ....................... �. <br />....................X........................ �� <br />..__.__........ .... <br />.._ ...............X..................._.... „ <br />............... ........ <br />Total ........... ....... . Sq. Ft. <br />--------- -- � __ — - -- � = _=— <br />Rer�a rks........_.. _ ............................................................... _.............................. <br />Order!Zeceiced ......................_................................._... ..... -- ......_......... / <br />�'vork Completcd...._ ................__............._......... .._ _........................ <br />I� <br />Finaman � <br />