Laserfiche WebLink
:. .i. nniu�i v� I J � •' ' . , � , <br />w. [>. lONM :1 <br />CITY OF F.VERETT--Water Dept. <br />ApE�licatin i No..........__ __ .... Dalc_ ...............JUI:.l.......t96i.........19...... <br />I:istall............_ ................ .incli tvater service pipc <br />For........_ ..........................._.... ........................_...._----......_................. <br />! " / qi <br />'��'�C�.....�1:...�G!.4Cr..:.'�..�-'� :..................... Street <br />On .._........._.. <br />Lot.............................................................. Block No.................................... <br />:1�idition _ ................._....._..................__....._......... .._.................................. <br />l:emarks .............................................................................................`.......... <br />__ ...__....___ ...................__....................................._..._ .......................... <br />_... ... _ ...... .........._.........................................._......_................................--- <br />_ ........_ ............................................................._.................................._.... <br />_. ..._......._ .................... ....................................__.....__..._...... ............_.. <br />Superintendcnl <br />I.AISOIi AND MATERIAL i15tiD <br />Size � <br />_i — _— _— — <br />...._._..___.....I Lcad Conncclion ComPletc <br />____.._...........1 caddlc Cnmpletc <br />. _........Pipc <br />...._..........___.. ..._._..........._..... ....._........._.__ ........ ... <br />.._ ................... Service Codc <br />. ._._,......... Service Box <br />............__. _ .................................._...................................._. <br />.__7.i. }Iaur: l,rbor .____._...___...._ ..............CosL..................._...............__.._.. . <br />C.itl in.... .1'�ccrir;tl..__...._.......X__ .................... ..................__.E.�.1�1. <br />.. _.__.....__X..........._........... .� <br />......._ ............... <br />... . .__.... X.._ .................... .� <br />............_. .._ .. <br />......._...........X ........................ �� <br />....._..........._ ... <br />Total ......_._......_. .. r y. i� t. <br />_ _- <br />? �emaileS........_ _._ ....................................._._............_... ...................._. __.. <br />_. __ ................_...._................................_................ ........................._...._. .._.. <br />. ._ ............................. ............................................................................._ _.__... <br />Or�lcr'.?ecciced._..........._........_ ................_...................................._ ........_ <br />\Vncl� Com��leted ..._. _..._.... _ . . _ ___. . .___.._... ._........__._ I <br />Fureman <br />� <br />� <br />� <br />