Laserfiche WebLink
� '�, ` <br />S J.Priebc�M 55� � �'� ' <br />W. U. Form J � <br />CITY OF F.VERETT--Water Dept. <br />Apnlication No...�1�"j...l.-.. D�te .......,. J� .. •-�-' .� lg �.� <br />............ .. ... . . <br />� <br />� � InstalL...�� ..................' ch water service pipe <br />, `, <br />- _ . <br />..l'... �-/-....C..::N:..i.._i`...—r ......................................'>---.............. <br />For ........ ...... J�/ . <br />On .r ..............�.1....�.�...,,�:.._.....�!.FS.<...�'��...ir.c:�.!_:i'.�.:.. Street <br />..... <br />r„r _ - .............. Block No..................................... <br />Addition............ �i� .........................................................----.................. <br />Remarks ` � ' ' � �-- <br />: .?.:.Z!- ::..................... ........ ---....................... <br />�._,..,� � .J <br />� .�fY — f <br />G :::::�::.: � <br />_,, <br />:: _-: _. :..._�._ .............. <br />Superintendent <br />LABOR AND 11iATERIAL IISED <br />�ze i — <br />-- <br />...............I Lead Connection Campletc <br />" .............''� Saddle Complgte <br />......�.�.:,`..,�..I.:::�..` � ....PiPe <br />. . ............................... <br />�� Servicc Coclt� <br />�,�...... � � � <br />�� f � , <br />Service Box <br />>' . ! <br />'�.......... {.��i.-...a...i7.�..;..1.........f.-.....k..:Y.G...'...t ..:........:.:.....:.....:................... <br />.. ... ........1..... � ...................... .. ....................................................................... <br />.................._...... ....._....... <br />........� ..................."""....__. <br />�� � f <br />.. .... . . ... � <br />No. Huurs Lab, c ...................................... � Cos ..�.�:n?./............................ .. <br />Cotin......._...._.....Pavement........._.........X .............._........ ........................Sq. Ft. , <br />....X ........................ " <br />, n J I ...................it........................ ....._........_....... .� <br />� • <br />................ <br />,)' „' , . � �a.�f' ....................x........................ ........................ �� <br />� � Total ........................Sq. P'l. <br />---- -- <br />---- — <br />. ...-"--- ................................................. <br />Reriar s ............................................. . <br />...............__....................................... - - <br />OrderReceived.........._ ..............................__ ...... <br />`,Cork Complcted ................................................. <br />� <br />Fm em an <br />