Laserfiche WebLink
. ��'a 9 0 . � „�-,� <br /> �� <br /> w. o. ron� � � <br /> CITY OF EVErytcE'i'T--Water Dept. <br /> Application No.�.:5..�..Il�. Date...........�.�...1.......................19_l.� <br /> l�nstall................ ....,�....;inch water service pipe <br /> For .......��7�:`�:.i.Y..t,�:L.. .... �.2:z=�.!bL.......... .. ............. <br /> ......... <br /> /.' � / i <br /> On .......1...-rl..:��......._.Cc..:...«.rs�.:(Y.::.....�`a:�r.5..7...'.�..... Street <br /> Lot.....................................................��---... Block No..........---......................-- <br /> Addition .......................................................................................................... <br /> Remarks ........................./../. .-....................... ....`......................................... <br /> C_. ,.1._�s:t <br /> ................................................:�.......... .!1� .L6'J............................................. <br /> �y...:'.......�l:r.;�y................................................"'........."'............................ <br /> /� , i <br /> � �............................:..........................................._........'_.............................."'... - .. �.. S <br /> u.....-/7.`...7�........... ................................................................................ <br /> Superinlendent <br /> LABOR AND MATERIAL USED <br /> No. Size i <br /> ...................................................... Lead Connection Complete <br /> ........................._........................... Seddle Complete <br /> .......................ft................... ........ ........................................................................Pipe . <br /> ..................................................... Setvice Cocic <br /> ...................................................... Scr�ice Bos <br /> No, Hours Labor..............................................Cost.................................................... <br /> Cutin....................Favement....................X........................ .......................Sq.Ft. <br /> ....................X........................ �, <br /> ......._............... <br /> ...................X........................ ........................ " . . _.. .� '.I <br /> ....................X........................ ,� <br /> ........................ <br /> Total ... ........._....Sq.Ft. <br /> ---------'— <br /> ----- —' <br /> Remarks........................................................................... .............................. <br /> .......................................................................................................................... <br /> .................. ...................................................................................................... ... / <br /> OrderRecci�•ed............................................................................................... <br /> \Vark Complcted............................................................................................ <br /> Foreman <br />