Laserfiche WebLink
. !.¢9�g� ���:�� <br />r <br />w. o. �ronw � ' . '� <br />CITY OF EVER�'iT--V��ater Dept. <br />Application No.���/._`/,i.. ( <br />�.. Date...........d......� .......................19._�:.� <br />/. Inst��11 .............................. .inch water service pipe <br />ror .. �� .._C:........._c!L.��—Ytr ....�-i.�.' .................... . <br />.2.. . � ' <br />^ . .............. <br />, ') � / <br />_.. ..... <br />On ...........� :..d::L...l........j.:<..e:.:�..:.c...�.�/ ........1.1..:%....Y...c........... Street <br />Lot............................................................`Block No...........-�---..................... <br />Ad�lition ......................................................................................................... <br />Remarks............................ - <br />y'. . . . ............. .......................................... <br />. . .. . . . ........................... L,� .. .. .. ....:. . , '.1 <br />�c.)..%.1...`.�.1GGi_C S.C7..� ..................................... <br />................................."'""'"""_. . <br />._"__ ........................ ........................................................................"""'"'" <br />Superintendent <br />LABOR AYD biATERIAL USED <br />No. i Size I <br />_ ....................................................I Lead Connectian Complete <br />................................................._._ Smldle Complele <br />.......................f t. ................... ...... I ........................................................................Pi pc <br />...........__ ........ ................. Service Cock <br />...........................................__..... Scrvice Dox <br />� <br />No. Hours Labor.._ _.__..._ .... .......................Cost........_........................................ <br />Cutin ....................Pavcr.icnt....................X........................ ........................Sq.Ft. <br />....................X........................ ....................... �� <br />....................X........................ „ <br />........................ <br />....................X........................ �� <br />................. ...... <br />Tatal ........................Sy. Ft. <br />-- --------_----- <br />Retnarks......... — – --- <br />_ ...................................................._........ ..... .......... _........ <br />........... .. ...... . .. ..... ...................................................................................... <br />OrderReceived ...................................................................... <br />.............. I <br />\Vnrk Complc'.ed_._ ................. __................... <br />_ .....__ __.. ._.......... <br />Fareman <br />