Laserfiche WebLink
V �.D F bm M �.a6��� O� r � �� �) � <br />CITY OF EG ERETT' � Water Dept. � <br />,�� � �+���-....._ .................�9....._ y <br />1 �•rAPPlication No ......................... Datg.N��-• �-- <br />{ . � J. �...inch watcr service pipe <br />�4 �., � In�all.....�..... p <br />",•;,-� '`) M1/J ^/ .,l^. J.... / <br />` <<.� : . .::..... .. <br />,� .�5:::_..i..:.�...i..t..: �.%'" <br />\ �'or ..........-:...... <br />..... ........................._ �„ <br />(� ,: . , z i � — _'i�0 _ - .............. $tceet <br />�`. ................... Block No........ .�.................._.. <br />..,....----- � <br />,..� ................. /�� • ��C...................... <br />.; - ."..1 <br />i � --- <br />w.. .................. .. _..-_. ' <br />..................................... <br />..,, �'_7✓ _ ar� .......�.I.........-------. / <br />� ' ,,. � '!, �7. � : , �C.� F � . <br />, . ..._......,.. �`� <br />__'_'_......... <br />LABOR AND hSATERIAL DSEll <br />Lead Conuac!ien Complete <br />Saddle Complete <br />���"��� �������� Service CocY. <br />......................................................I Service Box '. <br />__..... ' <br />........� ..............----.. <br />No. Hours L;.bor .......................................... ........................54. Ft. <br />Cut in ....................Pavement...................X........................ �� <br />........................ <br />.................... ... ................ �� <br />........................ <br />.................... ....................... �� <br />....................X........ ............... ........................ <br />Total ........................Sa. Ft. <br />;—,- <br />- ---'—_– � ;---------- <br />_�"_--___�-,.__.1 i" '.r�'.: �/.< � ....... <br />............................... <br />I <br />I Order Received......,, :.......::....... ....- --.-................y...y ..•.��- �� ( ' : <br />" � ..._. <br />. ......1 �'� ......:.....:........1. <br />� ... ................ .. Foreman <br />\v ork Completed.::: �..'-, -.....r . , <br />