Laserfiche WebLink
3/2c • , �� <br />B.�J. MI[CJ,� <br />M. O. IORM <br />CITY OF E.VLRETI`--Water Uept. <br />. -, . <br />Application Ny�'�.' .`.: �_.. Date.........: , � :�:..'�._........19 �.: <br />� Ir.stall......_1 ....:........ ......inch tvater setvice pipc <br />, <br />b'�r • • <br />._.._::'.�y12�.-r.a'..�..:-:�:.-/..�u ........... ................................................ <br />G'�' .. '_ �/ <br />�I: ...... .._�([2... ....��: ���:c..........�`..:'t�._ _`.�_.F....�� . <br />. a .::................... $iI'CCt <br />Lot.._ .........................._..._....................". L-,iock No..:�.<...-,�:l.a.��::_ <br />Addition................................................ ......... . ✓ <br />... ........................ . <br />> . <. _ �, <br />emarks .._/.J._s:r*:.....:.r.-t..>::.r., : . �_...._ . ... <br />:...........................-...................... . . ... ......_....._ ... ........ _ ... <br />. . . ...................-------.. <br />... !• .. a.cL ........................................ <br />,, , ....�.....�...�. f t � r _ ....._.............._'_ .......................... <br />-..� n -� <br />�'z �9'J� � � .. . . . . . .. .. ...................'"' � � <br />... .. . ... _. <br />. .. . ... ... ........ ... . .. . .... ................ ..---....... <br />� � � ., � <br />__` ........................... _....�:'..:C�'.._..,i: _i: r:� <br />� .. ... . ............... ... .. .. <br />� * � S ;!4'� / Superintendec�t <br />. ,P4. / /1 �,,. . , <br />�� LABOR A_�iD hLATTiRIAL YI�SH2Y <br />No. Sizc � ��� <br />---- —.. � --- <br />..................................................... i Lead Connection Complete <br />......................ft._.�...,;................ SnddleComplete <br />................:...... . r-........._... .....................:. . .._...........................Pipe <br />� . .. ............. <br />.....i......:' ...................._. Ser��icc Cock <br />..................................._. Scrvice IIox <br />... _ ...... . :..:..::.:.:. �.:. L..... <br />............................ <br />-- .......... <br />.... .................. <br />........................ <br />No. Hours Labor ..............................................Cost............................................. <br />..... <br />Culin ...................Pavement...................X........................ ........................Sq.F!. <br />' ....................X._............_... �� <br />... ......._.._........... <br />.........----......X..........__.......... �� <br />........................ <br />....................X........................ ........................ .� <br />Total ........................Sq. F!. <br />— -------- - <br />--- <br />Remarks .... .................................:...............................................................:...... <br />Order Received . .................. <br />\Vark Comple'�:edl�....:.::...'_ <br />Forenan <br />