Laserfiche WebLink
�. ;'. <br />, <br /> _��� � � ��;/%'-' / <br /> w. o. rowH <br /> CITY OF E`JERE"iT--Water Depe. <br /> '" .� � � <br /> Application No/7�....... .... Date...............���:,%...�...........19�::.? <br /> ���I�sta1ll...........:..p.,..............inch water service pipe <br /> For ......�sC....e%';:a.:�fls.:...,�1.:(-aC.�r�E6<.a..��:.................................. <br /> � - � �ll: F� Lt� ... Street <br /> On ...........c�:.�l:./.......:..:�-::.f..l.......................................... <br /> Lot.............................................................. Block No...........................---�--�-- <br /> �ddition ............................ ............................................................................. <br /> � <br /> Remarks ......li=�C_/.>z. e..�n.<...................................................._.. <br /> ......................................... ..................................... .................................... <br /> i...s�.4I e � ........................................... �-----.............. <br />� <br /> �..�r�,��...................................................................................�---.............----- <br /> a <br /> �....................................................................�-�--�---�--�-�- <br /> � '��- ���� ��� �(� ������— Superintendent <br /> ! /G — /!' � -- <br /> � LABOR AND hiATCRIAL USED <br /> � No. <br /> i <br /> Size <br /> -'--- — <br /> ...................................._._.._ Lcad Cunnection Complete <br /> .................................................._. Saddlc Complete <br /> .......................it.. ......................................................................_?'ipe <br /> .......................... <br /> ..................................................._. Servire Cock <br /> ......... Seivice Box <br /> .................................................... <br /> . _I ...._.._-..............................._......................................._......................... <br /> ................................................... <br /> � ................................................................................................................ <br /> No. Acurs Labar..............................................Cost.................................................... <br /> Cutin............_......Pavement.........._........X........................ ........................Sq.Ft. <br /> ....................X........................ ........................ " . <br /> ....................X........................ ........................ <br /> „ <br /> ....................X........................ ...................... <br /> �, <br /> Total .......................Sq.Ft. <br /> ----- <br /> P.ema rks............................................................................................................. <br /> .................................................................................................................. <br /> ......................................................................................................................... <br /> Order Received............................................................................................... <br /> \ <br /> 16'ork Completed_............. .. .. <br /> ......................._.......... ....................... .. .. . <br /> Foreman <br /> ��' <br /> t <br /> i§. <br /> � <br />