Laserfiche WebLink
� <br /> � <br /> , <br /> L J. PIII[9C ]M /33 7� � � ;E � � � <br /> n. _. �CPf1.J <br /> CITY OF E�JEF:ETT--Water Dept. <br /> , w .. ,, <br /> A lication iQo.. ...:..:: .'= � '' ( � 1�� / <br /> PP _- - Date......:/�ri.-- _,....�............I��. <br /> Ixtall..._...._................/.inch water service pipe <br /> t�or _.............................._ _ . . . . . <br /> On ..:. .....�I ..<'ti......:..�s-- .. .�--CL��'ti'Z1�z ........... Street <br /> ....-- _....._ ....................................... <br /> � ,. ..... .. <br /> Lot...._ ......... ....................._.........--........ Block No. .�._................. <br /> :1�?dition .................._......._..............................................._..._... . <br /> ...... <br /> Rerr.arks ...........................................__........-----...................----........_........ <br /> ............................................................................................................................ <br /> ....................................--.............._................................---.............._.....----....... <br /> ........................................................................................................_...._.....---...... <br /> .....................................................�--.............................................................. <br /> Superintendent <br /> I.AROR ArD MATERIAL USED <br /> No. Size � <br /> . __ __ . ._ . -_--'– --- � ------- — -- <br /> � .____....i Z.c:�d Connection Complete <br /> ._......................_.........._.. <br /> ._......_.........................._...............I S�ddlc Completc <br /> .......................St.........................._ ......._.........._.........__............_._.............._....Pipc <br /> .._........................................_....... 5ervic� Cock <br /> ........................... ..._..__.._........... Serrice 8ox <br /> ......_..... .. <br /> .....................................................I ...................................................................._.......................................--�- <br /> No. How�s I.abor..............................................Cost........................................_.......... <br /> Culin...... ....._ _._PavemcnG...................X........................ ........................Sq.Fl. <br /> ......._...........X.._.................._ " . <br /> ........................ <br /> ....................X........................ „ <br /> ........................ <br /> ....................X........................ .� <br /> ........................ <br /> Total ........................SQ.Ft. <br /> c=---------------– — <br /> --- <br /> Fiemarks............................................................................................................. <br /> ..................................................................................................................... <br /> .....................................................:.......................................................--......... <br /> OrderNeccieed_..................................................................................._...... � <br /> 1VorkCompleted................................_...................................... . . ........_ <br /> Foreman <br />