Laserfiche WebLink
-f �--_=—:_... <br />w. o. raww � �i , , <br />CITY OF LVERETT-��Water Dept. <br />Application Na,�.,� .'-.� ..cL.... Date .............:1..:.,r..:.:.1........._......19:...:. <br />Install .......................... ....inch water service pipe <br />,. . <br />For ........_ .,,,..:..:_�..7_.:.,v..:,..1�._c..��..r.:..._.;.:. ,::i._'..c./._._� ............. <br />, ... ...... <br />- '� ' _ .../. <br />On......_.;.i.....'.L.:�'....-....r:........:— .................................................... Strcet <br />Lot.............................................................. Block No....................... ........... <br />.9riditiun ...__. ._ ........................._ _..._.............._............_.......... ___... <br />Remzrks......................................................................................................... <br />_ _ ...................:: i.:._ :a_i✓...c_ .� ........:—..................................................... <br />..... _....-- ........................................................------------------.................... <br />. _........._........._. __ ............... ....................................._.......................................-. <br />Superinlendent <br />T.AROR AND MATERIAL USED <br />..__..� Lcad Counection Complete <br />........� Sad;llc Completc <br />........ _...______........__...._ ..................................Pipc <br />....... Scrvice Cock <br />....... Scr-�icc Box <br />No. F'.ours I.�bor ............................................Cosl.................................................... <br />Culin......._.__......Pavement._...._..........X ........................ ......................_Sq.Ft. <br />....................X........................ ........................ �� <br />....._....._....X.........._._......... ,� <br />........................ <br />....................X........................ „ <br />........................ <br />Total ......_._.....___ �q. Ft. <br />_--_—'-------------- -- <br />– -- --- <br />Re�narks ........................................................................_....................... _......... <br />_ ............................ . _ <br />Order P.ecciced...... <br />1Vm•k Completed... <br />_ ................._.... ._.__ <br />Foreman <br />