Laserfiche WebLink
a.i.Min[ aw� �� � , . <br />w. o. ronw � �/ �rf . . <br />CITY OF 'EV�RET'�,--Water Dept. <br />-, ., . <br />.-. , <br />_.� <br />ApplicationNo.:..:.._�:� ...:......... Date....._1--........::.'...._.:.............19_�_ ':; <br />3 ; , ,. <br />�- ' Install......_::_�-_............inch water service pipe <br />,� <br />;o, , . . r r <br />For ' • ' <br />.........._ .:....................................L:._..:.:............ <br />...._....... ._ ................ .. � - - <br />_, - - --- <br />- � , _ �. „ <br />On ..............................._�:.._::�:._�=--� .._ .__......:........ Stxeet <br />.... .. <br />Lot...........................•--................................ Block No.....i •-.........._.............-- <br />Addition........... .../...... ................................ . . . . .. . <br />. .. . <br />Remarks �cG.�_:.._:� � r' .................................. <br />............. .. ..._�.._ �--_ . ............_.................... <br />................................................................-... , <br />- - _- . .. . .. . . _. . <br />.. ...._......... . . _... .. . . . .... <br />... ............................................................ r.- y ' - �'r I i (' <br />............ _ .::..............._..--'-'--'----......... <br />.�i Supe:intendent <br />— �� , <br />LABOR AND 111ATF,RIAL IISED <br />Na I Size ; — <br />-- — -- -----' <br />......................................................I Lcad Connection ComPlete <br />................._......I.._.:....................i SaddleComplete <br />......_............i..._I__.-.'1 .................I Service Cock <br />.....................L........�:,::.�.:............. Scrvice Box <br />........_ .............................._.... . <br />No. Hours LaUor ..............................................Cost.................................................... <br />Cutin ....................?avement....................X......._...... ........................Sq. Ft. <br />......... <br />....................X........................ �� <br />....... _ ............... <br />....._._.__. x �� <br />....................x........................ �� <br />........................ <br />Total Sq. Ft <br />Remarks ............................/.3..i!... �1......:::.'- —_ <br />, .......-- .................................. <br />. <br />......................................: �....,:..-n � ......................................................... <br />OrderP,cceiced............_._ ............................................................................ <br />A <br />\Vork Comp]eted.L..!_-L�.::_?..:C ..................._........... J�.;::..::...�:. � <br />��._. <br />I� oc'eman <br />