Laserfiche WebLink
w.o.eo.i:��4� • <br /> � s.J.e.;.ns • <br /> CITl' OF �VERETT—Wat�r Dept. <br /> ( ,�,� ,�- � -� ; <br /> ApplicarionNo.._�_'-?��_ �. ; Date_-- •-----�-.�=-�-••---19'-;-•'" , <br /> �,. <br /> InscalP..____�_i_._. ._____inch water scrvice pipe <br /> � ---'�-• - - ---------- ------ -- <br /> For .---•- - <br /> , , <br /> ----------...-• -• •-- <br /> ,; � a� <br /> , % . . <br /> On ----., ..:-•-1----':. .�._: :-•-`----�-----�-------.�_ ..Screct <br /> . % <br /> Loc.-------�.i:�.==------- ------ Block No..----''----�--- ----- <br /> Addition ------ �--•------------/ -----... .. •----� ------ -- -- - <br /> Remarl:s----- -------------- ----• -----•------ �----- ----....--•- <br /> , <br /> --•--------------•'-•---.._ .__. ,.-=1---`- •----•---�--•----- �--- <br /> i <br /> ----------�--------- --- � .� �--- �------- <br /> -r ----,---- �- ----- - -, , <br /> . ;� , <br /> -� , <br /> ' �' ----_. .-----�--� -- -=----:._:;......-------- <br /> ,;� <br /> , Sunennjendent <br /> � : / /' i . � <br /> ,'��� ..� .� <br /> � LABOR AND MATERI.4L USED <br /> No. S�ze <br /> ---'-y_'--"--' -3;—*�-'r.'-- <br /> Lcad Conncctbn Complem � <br /> "'-1-""-._' -^�Y- k'�---"' Saddle Completc �. <br /> ----------- -- .- .ie. r. . <br /> """��""ft. """-.�I_" ' ���.�' �"./••'_"'__"""_.Pipc j <br /> "' . <br /> � """"f."_" _"'.'":3i'��' Scrvice Cock (� '� i <br /> � S�,rvice Box 'i 1 .� <br /> � _.._.._.."__" """'.___'.. <br /> ----"G-- 3, ,r (__•r_�a o-t t,� -�e .a:_�_!-�'r� � <br /> ----•- --,-��-..------- �` <br /> _-•----•-'------ ----'-•--- ----'--'--....., <br /> ---------- ---`-------•- --- --- --- ---'------•----� ----------- --� <br /> - -- - — --- <br /> No. Houra Labor_____________ �� �T <br /> .__._��.Cost"'••'�"'_"""""""_"_•""' <br /> Cutln."""�'._Pavemcne""'�y-X.`-f�...."___' __"""__"'!_S9. F�. <br /> ""_"""'X"_'"""'_'"" """"'"""'" <br /> �. <br /> � �. `4� '"""___"'"X'""""'"""'"'"' <br /> . �:1 :- '"""'__'"'___'" <br /> �} l� � `4� X------ ------- " + <br /> �f �--- --- ---- ----------v-- <br /> - < . <br /> 't � Total "'-'-.._ ...Sq. Ft. � <br /> Remarks----"---•----- -•------------�----- •------------ - -- - <br /> ------ •------•---•/��-- -------- --- ---------------- •-----� <br /> --- <br /> •+r Otder Received- �----------- ------------ - •-----------'--•- -• <br /> WorkComplctcd--- -----• •-_-- ---- _--_ ---- •" -- <br /> ----- -��«�;��� <br />