Laserfiche WebLink
�` � ., <br />��� ,. �„ , � <br />w. o. ranw o . '{ - �x% / <br />_ CITY OF EVERT7 �! — �w'uter Dept. <br />Application No.II�I�.._... Date.........�::..�..:_�:_:{ ...............19...... <br />Install ...............................inch water service pipe <br />For............... ..............� ...............................::.......................-----�- <br />� �� � � �, <br />On . ....�-i.�.x.:=......_�vc��c.:=..:_.:.1.i.:�.:�yr'<�...�::�....... Street <br />Lot.............................................�----............ Block No..........................----....... <br />Addition............................................ ................................................ • ...... <br />Remarks............._..... - - ...........----.._........................._ •--.................. <br />............. ��C:�-..................... �---........._................................................. <br />No. <br />LABOR Ahll hiATERIAL USED <br />� <br />Lead Cunnection Complete <br />Saddlc Complete <br />Servirn Cock <br />Service Box <br />No. Aoucs Labor ..............................................Ccst.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />.. ..............._...X_...................... �� <br />........................ <br />....................X........................ �� <br />........................ <br />...................X........................ �� <br />.............. .......... <br />Total ........................Sq. Ft. <br />--- ---'---- <br />Remarks ............................................ ............................................. ............... <br />Order Received ................. <br />\Vork Campleted .............. <br />.... . ......... _ .... ....Fo r e�� - <br />