Laserfiche WebLink
/� /+ ✓ ,, <br /> e. a.bmcoc ' � I � I d7 _ �o ��/ '..� �� <br /> w. o. ron.+ � <br /> CITY OF EVERE"1Z'--Water Dept. <br /> f�pplicstion No..l_i.�.��t�. Date.....� " ' 4d2 <br /> ,. � ...........................................19-- <br /> Install.............................. .inch water service pipe <br /> � . �, <br /> ' ' �_.. �j <br /> For ..:%.��:��..�,::G.��..-.�.,..T. .....:�....`?:t:r":�.<::��.r.:=/ _.........__.._... <br /> � �.��....`-�:/-..T�..:}i_�;xt,-S.<�..............:/._............. Street <br /> On ......--...... <br /> Lot.............................................................. Block No......... ................_...... <br /> Addition .................................... .......... .................................................... <br /> Remarks ................................. ...................................................................... <br /> ........... ....... ..... ...................................................................................... <br /> ................................................................................................................. <br /> ............................................................................. ..................................... <br /> _........_......... ._............................ -- .........................- - <br /> ........................... <br /> Superintendent <br /> LAB��R AND MATERIAL USED <br /> ...... _� Size I <br /> .........._I..__....._............_�l.cad Connection Complete � <br /> ..... o._ _ _ <br /> .................................... <br /> ................ Saddle Complete <br /> .......................f t............................ ........................................................................Pi p e <br /> . .............._........... Scrvice Cock <br /> ......_.................. <br /> '.................... Service Box <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Cutin......_...__.....Favemmt_........_......X.................._.... .........._............Sq.Ft. <br /> ....................X........................ ........................ <br /> �� <br /> ... ................X........................ ........................ <br /> .� <br /> ....................X........................ ........................ <br /> ,� <br /> Total ........................54.Ft. <br /> _--- ---- <br /> . . ----............. <br /> Remar s...................................................................................... . <br /> .. .......................................................................................................................... <br /> ' .............................................................................................................................. <br /> OrderReceiced....................................................................................:.......... <br /> \Vork l:ampleted......._............................ ......._._........................................ � <br /> Foreman <br /> ,--� <br />