Laserfiche WebLink
.�.����3 / % <br />CITY OF EVEREiT--�V(Iater Dept. <br />AEplication No../....:- : ...:.1 Datc_ ...............::......_.....................19._... <br />.. . Insta�l ,... ......._....._ _...inch water service pipc <br />/ j. <br />F�r .._..C.LL.LS.a.._....�.c.......�...4:_. _.�..-__..... <br />... ......................... ........ <br />, � ,� <br />On ..._... j:..:.,....:�....../ :_. ..:.................._........::. Street <br />........... ........... <br />Iot..._.. ..__ .................................�..._.._ Block No........_........................... <br />Jiddition . _ _ ............................ <br />. .... ....... ............�.................................... <br />�' <br />Rcmarks _ __ ..........................C...�_ ._ .. , <br />. ....._....r...L ..::.:.:................. .............. <br />I.A80R AND MATF.RIAL L'SF.D <br />No Size � <br />. . _- ________ ..' _ _ ____ ____—_—_.. <br />..... ___.. ......_..�....__._ _.... ... Lcad Cnnnection Complete <br />.. ....................�..._...__......_..._. � Saddlc Completc <br />.... ... ftl ...... ... � ......_ .. . ..............._. <br />__.. <br />.. _ ......... . .... ..... ._. :icrvicc Cock <br />__. _ ................._i ._._... __........... Servicc Box <br />Supe:intendent <br />Pipc <br />._.. .... . ....... .. .. .. .. _._... .. ......... .............. <br />. . .. . ...... <br />... ..... I ._ .... . . ... .. .. ....... _ . ._....... .. ... . ... <br />No. t:ow�s I.:ibor . . ......_ .............._.Cost......_.._............._...___._......._... <br />Cul in .. 1'occm-nt . _.. ..._...X._._.._..._..._ ... .................._....Sq. Ft. <br />.. ........___X.._ ................... �� <br />....... _ ............... <br />. .. _ ___X. �� <br />......_ ............... ........................ <br />._....X ....................._ .. <br />.. ._..... .._..........._... _. <br />Total ...............__...Sq. Ft. <br />----- -� � - - - -- <br />- ---- <br />--= <br />P.emarks .. ... .__ ._ . . . ....... ..__. .. <br />---....---- <br />_ _ ........... .............. _....................................................................................._...... <br />Order Necci�•ed _ .. . __..... 1 <br />_ ._.. _.._. <br />\b'or4'. l'nmE��L Icd .. � . . .. � <br />._ _ . .. . . __._. <br />Forem�n <br />