Laserfiche WebLink
W. L. {DIiM ] '��� V) <br /> n��c. ra�....Y:..��-.f_�....... <br /> CITY OF EYERETY—Water Dept. <br /> Application No.../...%.!��:..4:..... Date...........��...:..t:._..!_�..............19- --.. <br /> Install................................ inch water service pipe <br /> Owner................................................................................... <br /> ,�r �:................................... <br /> Address............._�:.3 (`f. " ,,,r� <br /> .. .. .............../1.lL.a_:r.l..s..�:t1.......: ......---'---.............---......... <br /> I <br /> Lot..............................................................Bloc k No....................--�-....................... <br /> Add:tion...........................................................�-� ...................................................... <br /> Contra ctor....................................................... <br /> ......................--- ---..............-•---�-- <br /> Remarks............................................................................... <br /> ....................................... <br /> .......-�...............����.._......................................-----................................................ <br /> ........................................................ ..� ...................._......._.................................... <br /> Amt........................................ Rec.Nu....................--•-��-----........................ <br /> .... ...... <br /> , <br /> By..........................._.........�ti....::.-..�-ti .� .......... <br /> � Super��..=nd�t <br /> _4�G1�' <br /> ..................................................................................................... .............................. <br /> ............................................................................................... .................................... <br /> ..............._................................................--•---......_...... .....................__._...._............. <br /> ............................................................................. ......._.............................................. <br /> .................................'---.............................. ................................................................ <br /> ......................................................... ........................................-"-......----...................... <br /> .............................................. ............................................................... ...................... <br /> .................................. _............_..................................----_...........................---'---'...... <br /> ShopRem�.:.s...................................................................................................... .. <br /> ..... .............................. ........... .................................. .............._............................- <br /> .................................................... ........................... ................................�--�---............ <br /> ..............................................................................................................._...................... <br /> ................................... ............................................................................................... <br /> ......�......................................... •--.......................................................................--�-..... <br /> ....................................................................................................................................... <br /> ................................................................................................ ....................... .......... <br /> .......................................................................................................................� <br /> lVorkCompleted........... .._...............__......................._................._........... <br /> Foreman <br />