Laserfiche WebLink
� �- �� 7 � „ �;� , <br /> � <br /> w. a. roa <br /> � CITY OF EVERE"I�"--Water Dept. <br /> Application No.I�..�?.7�. Date........���...........................19_..1�.. -'1 <br /> �7nsta1l .. .........................inch watei scrvice gipe <br /> �,� / i� 7 <br /> Fo^ �:c.�l.�,d.!........[�.r_r�c ,z:.k!.... .....................................-- <br /> . <br /> � ,�- - , J� <br /> On ..................r.a�/.. ./...�..........c.......C•�l._.1.-c�s.................._... Stre2t <br /> Lot.........................................................�---. Blocic No........---.......................... <br /> Addition .............. ........................................................................................... <br /> Rema��l:s ................................ .- - - . . <br /> r............. .�.....,.................................... <br /> ................................_.........,,:l a...,.�r:Y�.:.s.:.��...............-----................. <br /> ..................................... ................................................................................ <br /> ................................................... ........ ......................_............._................._ s <br /> .............................................................................................. <br /> �""'���������' ����������� Superintendent <br /> LABOR AND MATERIAL USED <br /> No. Size � ---- ' 'V <br /> -- � <br /> .....................................................I :.end Cnnnection Complete <br /> ...................................................... Saddle ComPlete <br /> .......................f t............................ ........................................................................P ipc <br /> .....................................................� Scrvice Cock <br /> ............... <br /> ....................................... Servicc Bm: - <br /> No. Hours L�bor..............................................Ccst................................................... � <br /> Cutin....................Pavement....................X...................... ........................Sq.Ft. <br /> ....................X.................. ..... ......._.......---..... <br /> „ <br /> ....................Y................ ...... ........................ <br /> �� <br /> ....................X........................ ........................ ,� <br /> Total ........................Sq.Ft. <br /> ------ <br /> Re�^a rks............................................................................................................. <br /> .......................................................................................................................... <br /> ........................... ................................................................................................. <br /> OrderRecei��ed............................................................................................... <br /> \Vark Completed............................................................................................ <br /> Foreman <br />