Laserfiche WebLink
_ ____ -- _ _ __- <br />/3'D 3 S� � ,�� � y,� �. <br />w. o. rnnr+ i � <br />- �CITY OF EV�REiT--Water Dept. <br />Application Nol.:.'� ��:_i._2.. Date............_��.:.1....-----.---......19.�:� <br />� j� Jastall_.....�.............,.......inch wa+er servic� pipe <br />For ..L�.�tL�fa::L'c:,a.,f......./..L�C.CL.1 S:,:c..:zt:< ........................................• <br />Un.............Z'..1..L_�.-..L•..ts.�...:�..._...................................... Street <br />Lot.......-- .......................-._..........._C�_ Slock No........_.......................... <br />?�ddition .......................•- ................................................................. ._ .... <br />Remarks ........................�.1 �.�.�.G�.2 �tzi........................._ _...... <br />........._......_ ......................._::� ....._ `. !...-------..._.......------ <br />................... ................................................................................... ................ <br />....._ ......................................................_".............._............. Superintendent <br />LABOR AND MATERIAL USED <br />Na. i Size 1 _ <br />........................._li......................_.. � Lea3 Cr,nnection Complete <br />..........................�.....__......._.........� Saddlc Completc <br />....._ ................ft. _................_..._. ............_.._. ..._................. _............................Pipc <br />.............._......................__......_.... Service Cock <br />. _____ .................._,......... Ser�ice IIox <br />No. Hours Lshor........_..__ ..............................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................k........................ . �, <br />....................... <br />....................X...__......---......_ �� <br />........................ <br />ToWI ........................Sq. Ft. <br />Order Received ................. <br />1Vork Comp!eted ............. <br />......_ .... .............Foreman � \ <br />