Laserfiche WebLink
W. DCfONM ]' /��/� _ ' /1 � <br />- %/SL�r <br />CI"i'Y OF EV;�Rr�TT--Water Dept. <br />�lpplication No._��Ji;..%- Date..........::j..:../ ...........................19_�:t <br />Iastall ...............................inch water service pipe <br />For................................................................................................................... <br />� �.1, � ^ ^ �e i-r � rt :. -Street <br />On ......�..:..'........�........�.%5.:...�._ .:.:......... ................................. <br />Loi.............................................................. Block No....................... . . - - <br />Addition <br />Remarks <br />LABOR ANU MATERIAL USED <br />No. i Size I <br />No. Aours Labor <br />Cutin .................... <br />Superintendent <br />Lcad Connection Complete <br />Saddle Complete <br />........................................................................Pipe <br />Service Cock <br />Se�vicc Box <br />.X ........................ ........................Sq. Ft. <br />.X ........................ „ <br />........................ <br />, <br />. ........................ ........................ <br />....................X....................... ,� <br />........................ <br />Total ........................Sq. Ft. <br />-- --- ---- <br />Remarks ............................................................................................................. <br />................................................. .... . <br />OrderReceived .................... ....................................................................... <br />\Vork Campleted ............................................................................................ / <br />Foreman � <br />