Laserfiche WebLink
a d. nunrlw i a� ¢¢ - ' �/// <br />w. 0. IO�M y ' <br />CITY OF EV��F,RETT--�Xlate�r Dept. _, <br />Application No._L......�./...f.�..z...-.~� Date.......�.�... .�-...'� .....................19......� <br />Install.....f �.,. , inch water service pipe <br />� �.....:..._ . <br />, � ., , <br />For....... .. :� :f. �.....:.'f:�.......... _ .t.:......::! ...................................__-.. <br />/ � '.3 � ' `n . . . � t �v ..................... Street <br />On ..............._...............�.._..--- . _.........:........._...--- <br />Lot.............�--....................................._..---. Block No....._......._....••-............._ <br />f.ddition ........................................................................................................•- <br />Remarks <br />� <br />LABOR AND MATERIAL IIBED <br />Lead Connection Complete <br />Saddle Complete <br />Scrvice Cock <br />Service Box <br />No. Hours L3boi ..............................................I:OPC.........._.............._.................._... <br />Cutin ....................Pavement....................X......._...,.---�--.. ........................Sq. Ft. <br />...................X.._..... _.._.._... �. <br />....... _ ...... _ ....... <br />....................X..............._.._... ,� <br />.............. ..... ..... <br />................ <br />.. Total ......._ ...............Sq. Ft. <br />- ---- <br />Remarks............................................................................•-- ............................. <br />......................................_...................---.............................................---............... j. <br />OrderPeccived .............................................................................................. i <br />\Vork Completed...::I....,/..��...: .:.....................__::..._._'..:.:.:..:._. ................. / <br />� � Foreman ( <br />