Laserfiche WebLink
9. J. PXIFII[ ]M ,J J J � ./ (i �,j� F� <br />W. 4. f�4i.1 :i <br />CITY OF E`JERETT-•�Wate: Dept. <br />, <br />�-� �- r�. r : iq ' <br />Application No..._....�?..:r-�.C; Date ........:.::.........i.i�(.r...�..........19 .:.� <br />Iastall ..... ..................._': �.inch water se� ��ice pipe <br />F�r ....._...._._...- ........ .............../.........:..�...._._..........._....._.................... <br />.'`J �//'/ �'.`Z-�--C.�(:...'�} .= / .................................. Street <br />p� ......:............ .... ... . . <br />Lot.............................................................. Block No..................................._. <br />nriclition......................................................................................................... <br />Remarks......._...........- - ....................... . ...................................................- <br />_ .... ..........___...................... ..._ <br />_ .. _ ............. _........ _ _.......... _.......... <br />_..... _ _ ... ......... ......... ....__.. .................................................. <br />Superinter.dent <br />LABOR AND 11iATER1AL USBD <br />No. j Sizc <br />.................. <br />................ <br />_.......� :.cad Connaciion Completc <br />_.......'� Saddle Complete <br />.. _..... ... _.. _ ................................. _............................P i pe <br />......._ Service Cock <br />......... Servicc Box <br />................. ...� ....... ..................� . <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin........_.........Pavemcnt....__............X._ ................._.. ........_..............Sq.Ft. <br />. <br />....................X........................ ........................ ' <br />....................X........................ „ <br />........................ <br />....................X.._.................... ,� <br />.................. ..... <br />Total ..................__..Sq. Fl. <br />- ---------- <br />Pemarks....... _ ......................................... ._....................._........_................ ... <br />Order ?Zeceiced .......................__... <br />lVorl: Completed.........._._........... <br />... ....__ ..................._...._. <br />Foreman <br />