Laserfiche WebLink
w. o. ro��� � � ' ' <br />�� CITY OF EV�RE"IT--Wate:r <br />� � ��`� � <br />v <br />I�ept. <br />, -. , / <br />Application No.�-.-`1.....�...> .I Date ..................�.:..�................1B,r--'�. <br />7nsLa11 ...................... ... incl� water service pipe <br />� . i7�. � � <br />.. . <br />For............._ ...�:.�i.C._.........1.1�`c ..:�.�.-:,......................................... <br />On ........1..�.n..C% ��:}.u;..:.ls:�.-!.. � Str��et <br />.......... .. ........ <br />. ........................... <br />Lct.............................................................. B'ock No..................................... <br />Addition..._........_ .... ......... ........................ <br />/.— �. ...................................... <br />P.emarks ..............................C_<�a.z�.:.C..i:f.l.,�c��........_..................------ <br />.................................. <br />............-- ......., <br />,........... <br />'/ _ • . <br />......../.........' :.'.._...... <br />No. <br />stze <br />LABU2 AND 114ATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />......................... <br />Scrvice Cock <br />Scrvice Box <br />No. Hours LaUor ................._......_. <br />Cut in......_............Pavemmt.......... <br />� <br />Scperintendent <br />� <br />........................Sq. Ft. <br />........................ �� <br />.. .................. „ <br />_ _' ___—____--.._.—__ <br />Total ........................Sq. Ft. <br />Reraarks......_ ............................................_..................... - - - _ <br />......................................................................................................... .� ---......... <br />Uid�: Received._........_........_ ............................................................. ......... <br />�Vork Completed._ ............................................................................. ....... <br />Foreman <br />