Laserfiche WebLink
�* ,'''+ �,.+'�- �'^��75 � f y t . <br /> n�x t�.�,; 5, x � . <br /> -�y� °'��- ' ri.: <br /> � s�u-; <br /> � .�.e`�s'�{�c' s >.. ..+..<>�. . <br /> � <br />� •_- . . . .t Form 1 IlC` 111421 . . � ' . <br />, CITY OF P;VERETT•-.Water Dept. <br /> I <br /> P.pplication No. �?. �_�� �'�..._ Datc... . ......�.�/� _ ]92._7:,� <br /> I „ <br />� , InstalL 7' _. .._ ._inch w;ttcr setvice pipe <br />� For �. � � � �rn�� <br /> On ��.u�l __....i� a��.�+o c.0`�_ .......Strcet <br /> � , � <br /> Loc . . _..... a7 .�.$ Block No. . v.<. ��............... . _ <br /> Addition_........__........_.._.........._. .....__... <br /> _ <br /> Remarks_._ ..:..... ............ .. ............. ... _....... <br /> ' __. _..__........._.......... . ....__.. . . _._....... 'Y"�''C% <br /> . _ _.......__........ ........._..............._ ._.. .... .._ .---........ ._ <br /> - . ._......._......_....._....................._..__. ............_ ......... ..,. <br /> ] /' �r <br /> ' � � . __�-' —1 �_.._Il�Q�4. .... � ..; <br /> � � S��e��endl�tGJ � ('- YY� r <br /> — �---,. . .-_,:.- V <br /> LABOR� AND 11ATERIAL �L'SED � <br /> — _ <br /> -- - <br /> o. I Size .. __. . —--�- —-- <br /> _—______ _ <br /> I� _ /_ ___.. ____ ' ' __ _ _ . ___— . <br /> ............�.................j-:..-_"5i-Ch' I_end Connection Completc ���. . �.—... <br /> ...........�.............�. x..Y...�....._�� Saddle Complete <br /> a... <br /> _ , ., / <br />. ......_y......._.ft.I . .:r............_� ....'rJ..,�S:C::Y.:.. .........................PiPe <br /> ..........�.............. .. ` .'......... Scrcice Cock ,., . <br /> ,/ t , <br /> ........�................�zt�.t'iY.C.(� Service Boz FF',`;.� "-. <br /> ..... ..... ........ <br /> ........ . ....._ __...... . . ..._.......... ..... ... ... .... ....... ..... ...... <br /> � �� <br /> , <br /> . <br /> ,. , _:�' <br /> ........................... ................._ _ . ............................................................................................._�..:��°'.:.... . <br /> ........................... ....................... ................................................................................................................... .. <br /> .......................... I...._._.._.......... .__.........._...................._........... _ ..__. .::.............._.............._._._ _. ... <br /> - ------ -- ---- <br /> — _ —__.__—_ <br /> �'v ' <br /> No. Hours Labor..............._..._.................Cost......�.'`:.-....-..............................__.. _ <br /> Cut in......_..:_........_.Pnvement..._...............X......................_ ..___Sq. Ft. <br /> ..._....... <br /> .................._5....._...._........... .........._....._. �� <br />' ....................X_...................... .................... �. <br /> ....................X...................... .� <br /> . ............. ..... <br /> - Totul ........_......._.Sq. h't. <br /> - --= - - � -- � - — . . _`�— __ <br /> ---� ___'- - <br /> _. <br /> JRemarks �t;�;, a' I,� � � <br /> v - � - ; _�__ � . <br /> � <br />� <br /> __Q� P�-�I— �c!1/�x�4�(.e._ ..,lr £��� rf...�:G.L-S._ _. <br /> I _ .. _ > <br /> _... ,..__ . _ . _ <br /> _. <br /> iOrdcr Reccivcd.. _.. ... . / �--� <br /> Work Complcted �/�7 �v.' _ _..`y/- �. �. ',; G•; <br />' Farem n <br />� <br /> II <br />