Laserfiche WebLink
::t <br /> , ;r . <br /> � � �, <br /> w o. roxw��� • , <br /> • � Acct. No.........�J..�1'-j�� <br /> CITY OF EVERLT�'- - Watcr Dept. <br /> Application .do.*��`:,:i..:��T. Date......._............�?..: :�"..... ............19G...`f <br /> Install................................ inch water service pipc <br /> Owner............................................`...�...........__......__.--�-- --...................................... <br /> Address.........�:�.:�.:c?- -:.:7—c�:.��� .-c.^`:°'`'f•-............................... <br /> Lot....----..............-.......---........._..._.......Block No.......... ............. - ................... <br /> Addilion...........................................................................................�--...................---... <br /> Contractor...................................- ..........................-----...................._.............-----.... <br /> Remarks...........:�:" %��.��..............................................................•--............... <br /> ..........................•---.........---..................................--......_.......------................................. <br /> ............................................................................_.................................................. <br /> Amt..................•----._............. Rec.No.......................------........------.... ................._ <br /> By...........-�----.......-�................._....---.................................... <br /> Superintcr.dent <br /> ......................................................................................""••"""-".................................. <br /> ....."'..................._...................---'-'........................................"--'-'-....._""-"'................. <br /> ""-".._......"'.._._................'-_"......................................--"...."""'..."'...-""'.................... <br /> .........................."""'-...........................-"'........................."."_"'.................................. <br /> ...................."'.............................................."'-'-""........................................................ <br /> '--'................."'••"-"-'............'-'...................................................................................... <br /> ._..-"'... .........................................................."............................................................... <br /> � ......................................................."....................._........................................................ <br /> ShopRemarks................................. ..........................................................�-�----........ <br /> .....................-�---....---...........................-----.............................................................. <br /> .............................................................. .................�---...._..............---�--......... ........ <br /> .....................��---......................................................................................................... <br /> ....................�-�---.........................................................................--�----.....---................ <br /> • �................................................................................................................................... <br /> ...........................�---.............................._........................................._............................... <br /> . ............................ ..................................................................................................... <br /> ................................................................. ............................................................. <br /> \Cork Completed..................................................... ..............................._............. <br /> Foreman <br />