Laserfiche WebLink
� a. nvanc�� � 4 � ' � . . <br />w. p. �ONM � ' � <br />CITY C}I� 'r'VERETT--`JVater Dept. <br />; , <br />: - ..__.__ - , : <br />A�plication No.......::_F:�4=:_.—D�te .............`.....:.......:.....................1�J...`:' <br />�� , <br />7nsta1l...�.�.: ,c._ ..:..........inch water service pipe <br />\l -, . / --- <br />',• i- • <br />, <br />r i �� <br />_...,...._._..... . .. _...... ...t ...................:...'.:'..._..._..................... ............. <br />�. , <br />:':4::'._:.:. • , , <br />On ......::_,..- _ ......:......................::.............__......_................ Street <br />L,o :....................................................._...... Block No.........:......................... <br />�ddltion ......_ ..................................................._........................................... <br />Remarks........__ ............._...............--........ •-....__....... -............................ <br />•: <br />- � - _.:..._. � <br />.... _........_ ................r...... . ... . <br />� � - . ..._. _............ ..... .. <br />, _._.. <br />... _. _ <br />..... . <br />, u �. • / �.. <br />. � <br />�. _ „ <br />_......:..:,: _ .....::........ :: .:..._........................ <br />�,__..........- - .....: ....................... � <br />� , �i .�r... � .� . <br />.. . / ...� K�.. i............�...... � <br />......�� I, �' <br />f.... ., .......................... ...� <br />/ <br />�.—�.�_�. �.r..� __ <br />No. <br />......... ......... <br />...... _ ............. <br />_........._........ <br />� <br />� .... r ......:.. <br />..� •• ... ' i <br />� • <br />............... F...�\.........:.:i. . ..............�... <br />....... <br />� � Superintenuent <br />C � � <br />LAR02t AND 11fATERIAi. USED <br />i <br />T uid Connection Compl?tc <br />�addle Complele <br />...................... ......._......... _ _....... <br />Servic> Cocic <br />Scrvir.e Bux <br />Pipc <br />No. Huw�s Lsbor .............._............._...............Cost.............................................._.... <br />Ciil in._..._..._..__Pavement ....................X_..........._.._.... ........................Sq.Ft. <br />„ <br />.,� -<i ......._......_ ... ................_...... ....._................. ., <br />� . <br />� i% ................._.X......__ ._.......... ......................_ „ <br />r . �: �. „ <br />� / S�, _.:,� _._...........x ...................... .................. <br />q 3� 3`i rd. �j Tota] ._ .....................S�. Ft. <br />------ �---------�_ :: - --- <br />--------------- <br />Remarks............_........... `%.:.� ::....:::::.._::............ ..___............_....._.......... <br />, <br />....................................._�...:. :.,..:....................... ............ <br />Ordcr ?�:eceiced ..................._.......................................... <br />/ �.....��:.�'..:.�.�`.. � <br />�Vork Completed ..................... __..... <br />_ ..... .. <br />Foreman <br />