Laserfiche WebLink
Y J � � <br /> W. O�fOHM ]�/� � �� / . I, C ��/� � <br /> ' CI^('Y OF E�TERETI'--Water Dept. <br /> ; � � r� c ,_.,� . - � <br /> r � , <br /> 1�pPli,ati�n NoL..'...:.:_}:�.. .... Date..... ..........�.:'.:..............__..19...... <br />, � IastaF ... ........... ...........inch water service pipe <br /> , <br /> , �" i r . - <br /> PorC_ , , ....� � ..:.:.... � :.:....... ............._.............. <br /> ...... <br /> � � '/ i . ... Street <br /> . ( <br /> .. �n �- . �, , <br />: .,., ' Lot.._................._. ._ ......._.................... Block No.................................... <br />, .,;;_ Addition <br /> , , Remarks ............................�� -- �- ....................._................................ <br />_..; .... ................_............................. ....... ..................................................... <br />_._ ;` ........................................ ..._.. ............................................................. <br /> �,. , <br /> ......... ..... ................................................................. .......................... <br /> , ' ...... ....._. ....._.. ........_.. ....................... ..... ........ ....._._... <br /> Superintendent <br /> � . LABOR AND MATERYAL USED <br /> ' No. Size � _ <br /> :r �`'�..� . � .... . ............... _.......... _ Lead Connectian Complete <br /> ���,.. .�.�:�. . ......... ............. .................. ..... SaddleCompl�te <br /> r,- , <br /> . .�: �, . ................. ...it............_.... ... .. ..... .. .. .........._..................... .. ........Pipe <br /> . , r � . ......... .. ...... ....................... Servic�: Cock <br /> ` , � ................................ .......... . Service Box <br /> � � � ............................... .......... ....I .... ............. ................ ... ... . .......................... ........ ....-. <br /> .': `:�; . � . . No. Aours L�bor............. ... .......................Cost....... ... .............. ......... <br /> '�, ' Cut in... .......... Pavement.......... .......X..... ........ ..... ....... ....... ..:i4.Ft. <br /> ._ ................ X .............. �� <br /> ......_. ............ <br /> .. :,,.. . � . � ..... X <br /> , . � . ....... . ...... .. ......... ... ....... . ..... <br />..�.:._::;... :�� - � ....................�{........................ �� <br /> ................ .. <br /> � ". <br /> ,i,� � Total ..... ..... ..dq.Ft. <br />.>rra_,. ....: . ___ _ — <br /> Remazks.............................................................................................- .......... <br /> .......................................................................................................................... \� <br /> OrderReceived.................................................._........................................._ <br /> \1'o�k Ccmpleted............................................................................................ <br /> Foreman <br /> � <br /> � , <br />