Laserfiche WebLink
w. o. ruew a �I � � , - �J, ,-� � <br />� �� CITY OF EVEt��: T--\'{later I�ept. <br />., _ , <br />Application Nu....(...:'�.c:^..:'-... Date............-.: _i.._4..:-' :................19...... <br />install ...............................inch water service pipe <br />For............... .................................................................................................... <br />,1 <br />On ..................%..:t::.` ..�..........�:.::.r..:.:...-(. f..:r_'>.�:.............._... Street <br />Lot............................................................. Block No..................................... <br />Ar.ldition ............................. <br />..........i <br />......:....... .............................. <br />j � , -. <br />. <br />/..2..........:.'l.::J�..r ........... .. <br />// - /� i';L. <br />LABOR AND MATERIAL USED <br />No. <br />...........................I...........................I Lead Connection Complete <br />......................................................� Saddle Complete <br />......................._............................. ........................ <br />......................................._............ Service Cock <br />_ .............................................__.... Scrvice Box <br />No. Hours Labor .............................................Cost.................................................... <br />Cut in ....................Pavement....................X........................ <br />........................Sq. F't. <br />....................X........................ .� <br />........................ <br />....................X........................ �� <br />........................ <br />...................X........................ ,� <br />........................ <br />Tntal ................ . _....Sq. Ft. <br />------ ---- <br />-- ---- <br />Remarks................................. ......................................................... - ...-- <br />OrderReceived .......................................................................................... . <br />\Vork Completed ............................................................_................. <br />Foreman <br />