Laserfiche WebLink
9. J. PNI[�C 2M ����� • V i Il �� <br /> W. O. fORM ] <br /> CITY OF EVEREZ i'--Water llept. <br /> ., ... � _ - <br /> „ / / <br /> Application No.._r._5=.'=.�'� Date..............�.z� �::IC:�:._(.�.. . ! <br /> 19 ..� <br /> I�stal:................. ............ anch water service pipe <br /> Fur ...... .................... ........` .. . .....� <br /> ................................. <br /> ... ......... <br /> t � ..'��.L�.,�.........•.�...�"2'L......yZ:C:2�C.r.��L'.��Street <br /> Lot........................................ .................... Iilock No:.................................... <br /> :�riciition .................................. ...................................................................... <br /> Remarks .......... ................ <br /> ............. ................................................................ <br /> ........................................................................................................................ <br /> .. ............... ................................................................................. <br /> ............................................................................................................................ <br /> ....._...................... ___..................................................__............................. <br /> Superinteudent <br /> LAIIOR AND MATERL4L USED <br /> No. 'i Si;e I <br /> --�----- r- -- <br /> ...........................�................_...._....I Lcad Connection Cumplete <br /> ...........................I....._..................... Saddlc Compleic <br /> .......................ft...........................I ........_......._..._......................_.....................Pipc <br /> ...................................................:. Servicc Cock <br /> ...................................................... Scrvicc IIox <br /> No. Hotu�s Labor..............................................Cost............................._................._.. <br /> Cutin.........._........Favctnent...................X........................ .............._.......Sq.FI. <br /> ....................X...................... . �� <br /> .. .....__............ � <br /> �� % <br /> ...... . .....Y ................. � <br /> ....... ........ <br /> ....................X....................._ �� �`r,. <br /> ........................ . <br /> Total ........................Sq.Ft. � <br /> --- ------ —__ �.. <br /> ---- <br /> Rcmarks..................._..................................................._...._............................. ; <br /> _. .............................................................................._.......................................... ` i+ <br /> f� v <br /> . .............. ... ... ...... .....................................................................' ""............... / �� ; <br /> Order !�eceived . ................................. ......... ........................... .............. .._ i. <br /> ,-, .; <br /> \Vark Completed........................................................................_ .. . _..._._. ;:�:�t. <br /> Foreman <br />