Laserfiche WebLink
5 J.Pnebe�M4 <br /> W ,� Fe.�, �►��6� <br /> ITy VERETT--Water Dept. <br /> ' - .�Q�',�_....�s...... <br /> Application No..�b4.Pr............ Date.....s U�.Y...3.Q.. <br /> ^ .....inch«�atei service pipc <br /> n,st,it..........3/4...... <br /> For ........................... <br /> ........... .....__......_................_.__....... <br /> On ..................._2902..�!ict9.x._P�a9.G......... ....................... Street <br /> ........... Block No.........�......................... <br /> � Lot..._.....�....................................... <br /> ��aa�ts�»� .. . ___.................._................_......................................................... <br /> Remarks ...........ReneWR.L.:--.-::-.::_::::..._...:.:.:...............:............:............. <br /> .....:....................:....._.._........................................_...................................... <br /> ........................................................................................................................... <br /> � _ .................._._................................----................................`---.......---... <br /> +�C!.�.�Q.�fl.@......................_......_........... <br /> ........................................................� Su erinlendent <br /> �V2 ' p <br /> LAAOR AND 11iAT6RIA1. USF.D <br /> No. Size_____ ..—_— . _ <br /> � ],cad Cnnnection Complete <br /> ....._..........................................._..; <br /> . Saddl/Comp�cte � <br /> ......................._.. <br /> .......................... ` ,' . . <br /> .. .....ft.. ....'�.,«...�........._.........................._...._........P�pe <br /> .................. <br /> ......................... . <br /> ......_............................... <br /> ......_....... ;croicc Cock <br /> .......................... <br /> ........................... :crvice Box <br /> � _.... _.........................._...._...Cost..........._...................................... <br /> No. Ilows L�•�pr ' <br /> Cutin..._ _._.. ....Pm�rmcr.t......__.........X....................._. ........_..............Sq.Ft. <br /> ................._X....._......_........ ._....._.............. <br /> „ <br /> .................._X........................ ........._............. <br /> .� <br /> .............. X........................ <br /> ........................ .� <br /> Tolal ...._.........._._...Sq.Ft. <br /> -�--'--- ------ <br /> ------- <br /> —_—.------- - — - <br /> —— -- <br /> Rcr.�urks........................................................................................................... <br /> _ _......... ._...._........__.................................................................. <br /> Order Rccciced. ... � _ �........................._........ ........_.................... <br /> ...... <br /> ..... <br /> _ ._. ....................._.. .._- ... ............................_. <br /> Pr .L4.iTM 4� / .� �/�..�...._......._.. . <br /> \\`ork �pl1:j]IC1Cc�..jr.._...... ...............................�_._ i'oreman / <br />