Laserfiche WebLink
J 14081 <br />S.J� - <br />M-rM3� <br />• • Pn<ix T <br />CITYCWPFVERETT--A7 Ater Dept. <br />Application No ------------- Date.-.-- -�• GS----- <br />lnst:ll.__7� ____ -. .-•inch water service pipe <br />For.-- --••-•-----^..._ ^---------•- -••---•-------•---------- <br />----- _. Street <br />-- Block No..-�---_---------- --- <br />Addition ---- ------ ------ <br />Remarks --------•-- --•-• <br />---- — ------------- ---- <br />r <br />...... .... .. .. .. ..... $vDerinlenLenl <br />LABOR AND MATERIAL USED <br />annection Complete <br />-,-- S I :a Complete <br />...................Pipe <br />.._.. __.....-' -------- ------- Service Cock <br />Service Box <br />__- <br />No. Houte Labor_ --------------------Cost -------- .-___..____Sq. Ft. <br />Cut in ------------ avement.... ........ <br />.............. --------- <br />-- __._---------- <br />._..........X ------------- -- .. <br />Total --------------- Sq. Ft. <br />Remarks_____________________ <br />Order Received ------------- -------- <br />Work Completed ------------------------ _______________Foremen__ <br />