Laserfiche WebLink
29 / 6 - , �. <br /> 4 J. I�RI[�[ 9 • � �/ � �'� <br /> w. b. IC11M � <br /> CITY OF EVERE�'I'--Water Dept. _ _, <br /> Applfcation No..��-� I��� Dnte�l..........:.......�.'........:�.:1.........19/. : ; <br /> ..,. <br /> �,� 1n�tell.....:.r.�._.!............inch water service pipe <br /> 7 ,. , � -i , � <br /> � A......................... <br /> FOC ................... �......5..�............................ ............. <br /> . ................/ <br /> • ' /�i / . r . . �, �.......................................... StiECt <br /> Un ......::.-:..r.......................s....................... . <br /> Lot...........................................................:. Block No................_................... <br /> Addition ....... .............................................................................. .._ _... <br /> Remarka ..................................................... ........................... . <br /> _._..........................................................................._............... _ <br /> ( ..'......................._.;..,..................._. _. <br /> F . ' ' ' <br /> r . <br /> � ..... ..�y....... . <br /> 4. . t...:..�.� d <br /> :E,.'........ cC...........�........... <br /> i'.f 9 � � � :.���,. �� <br /> �.... ._ .. � ' —� _s <br /> � , .� �,a LABOR AND MATERIAL USED <br /> _Nn._ Sixe _ � _— <br /> ...................... ............................. I.ead Connectlon ComPlete <br /> ...................................................... Saddle Complete <br /> ......__...�U...St....._.':.![............. .'� 11L`:........................................._........PIPe <br /> ......................�.. ...._'.'.!.k'........... S�e Cock <br /> ...................................................... Servlce Sox <br /> .........,... �Ll.r.rae.+4 .... ..........................................................................._................................... <br /> No. Houre Labor..............................................Coet................................................... <br /> Cutin....................Pevement...................X........................ .......................Sq.Ft. <br /> � <br /> '✓, ..��4� . ,� . ,,, ................._X........................ ......._............... <br /> " i , ....................X........................ ........................ " , <br /> ...................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> Remarks................................�i.._:..�....:.f.c�..:4�...._.._............................_ <br /> .. .................................._..........�.u......�t.c.,.......Si_ce....t.:.::..,.::u.,.................... <br /> .............................................a..:.,...,.:�.�..:............... ...............................---� <br /> OrderRece[ved............................................................................................. <br /> �Vork Campleted..7."..?.":5..�1.................�.r::,���f1.:,.._�....._...._. <br /> Foremen / <br /> ! <br />