Laserfiche WebLink
� <br /> � W.D.Form 3 `50o d-I-q C.P. • ' <br /> CITY O� EVEIZETT--Water Dept. � <br /> 6 <br /> . ApPlication No..__'�'7�_f(_ llate---- .-_-!L-------19�3 <br /> Ins I ____-/�--�nch «•ater service pipe <br /> For--�--=�'---- - - � --- - <br /> --- -- ---p--� -� � ,-�------ <br /> ,;� <br /> On--- --�1s2 S--�- - ---�`-^�`' L-----Street <br /> Lot.---/�-J_�- ---------Block No._�.�. ---- ' <br /> Addition------- --- -- - - ------------- <br /> Remarka---- --------------- ---•------ <br /> --------------- <br /> - --- -- - <br /> - -- -- ---- <br /> ---------- --- - - <br /> --_c �__ � <br /> �� u rintc ent • �J <br /> I.ABOR AND MATERIAL USED <br /> No. fiIZE <br /> T— <br /> �._ — ..__. I.rad Connection G�mPlrte <br /> .__'__ _.._' <br /> _""�-'__'. �_Y:���.._ S�ddleCumVir.le <br /> "_'_g�__.tt .. 7--"_. ' ___"_-_..1'ipe . <br /> - .__..__. . <br /> . '� •� , rvice Cock <br /> _'___"�""'__ 'S'7_"_'_ <br /> , j, __. Service Rox <br /> .____'.�-__.__ <br /> '_."--_- _"___'_'_"'_"'"_'_'_""___'__"__'__'_- <br /> -'"" "'_"_"'" <br /> No.Houra I.alwr___-. .__-..-Casl_.Z:.�g__.___"___"'.-. <br /> '_._'. <br /> �'_'-'_ <br /> __I'avemcn:_-_' _""'_"' - Fl. <br /> Cutsin._._____ .. ..._.X__...____..__ . . <br /> __.____.a'__"'_._"___ __'______". <br /> .__'X-"'___'_" ______"" <br /> .. <br /> __ ' <br /> .. <br /> " _ <br /> ..X.__'_'_"' '__'___'_' <br /> ._T�rtal. ______"__Sy.Ft. <br /> Remarks_ �.�.aterial Slip No 1._Zp.F-�'.�&..• -------- <br /> . t , <br /> -------- -- - -- - - -- - - --- --- -- <br /> ---- -- - <br /> -- - - . . ...-- --- --- - - - - - <br /> OrderReceived --__-- ----'1,.: ------- <br /> -7-,� � /- �; -- p (; <br /> �Vork Compleled _--m,__/r"��'�'""^�+ _ �y `-' - <br /> �___vF� �mTn <br />