Laserfiche WebLink
:. D. Form J ' 6 <br />S. . PrieLe � � �O —�p � <br />'��4 CITY��'p}�JERETT--Watei'Dept. <br />Application:Vo.--------�-' Datc-------------'---_"19--- <br />InstalL--t--------_.inch water serv(�e piEe <br />For---�---------------•------•-------------•------'--�-------- <br />On-----------------------` -'------------..--------Stzcct <br />Lot---•--------'--•----------- BfockNo.. _—• ------•------- <br />Addition...._------------ ----- --------------•___.._---- <br />Remu:<s -•- - -----• ------- ----------------- -- -------- <br />---------•------=------------ -------------------•---...----� <br />--- ------- ------------------ — -- ---�-- - --�-------- - <br />--•----- —'-------�---'---•-`•�---- — — — <br />. � SuPerinlendent <br />� LAIIOR AND DfATERIAl U5EU <br />- No. Si.c — ..___-___ —. . _ . . .. <br />- —__— _ <br />_""_'__"_'"""'_"_"___._ Lead Connecrion Complete <br />_""'_"_"'_'_'___"""-_. Saddlc Complcm <br />'_"""''3'""lt..__ � ir l"_r: _�.J.'�.r,"""" _'_"'1'ipc <br />�""'" <br />""' <br />_'_" _."" <br />_" " " "'_""'_ "'" _ _ " ""'" Scrvicc ock <br />'_"___"'_."_"'_-____ S:rvicc6ox � <br />-/ ; i <br />_'l'_'__'_" .__ �� i' LS./�.^ ..(i.r._�._.�=Q✓ �:�� '_.__ "_'_'__ <br />L. <br />-- ---- -- <br />----�- ------ �--x--- ���„ .-,F�,=�-�----�..�.._,�_._ �`.�,..-----�- - -- <br />, , � ,. <br />No.HoursLabar."_"__"'__"__tiLC _'f"!_f__"""_"""""'___""'_'""' <br />Cut in_""""""Pavemcnc"_'_'_"'_X"'"__"'_""'_' """____'"'.Sq. Fr. <br />.::�. '_""'_'"X"'"'_""'_"_' '"__"'_"_'__" •� <br />,� ;�`.� _'"X'""'_"""' " " ., <br />__'___ <br />__""'__"'_ <br />iy1,1 { p`% — — --X-'-"-"----' „ <br />1. / ' Tocat ----------Sn. rt. <br />Rcmarks-•---•-------'-----•----------------- - ------- — ------ <br />Ordcr Received _- --------- ---------------------------- - <br />�\'ork Cnmplcted- ----'----- '---- ----'--"'------". -- <br />t ,�- ,.�, , <br />� <br />