Laserfiche WebLink
5 J.PrieLu4M7.46�.���\/' <br />'•J. D.Ferm 3 <br />.�'�:�... . <br />CITI' OF EVL;RET�I'--�Xlarer Dept. <br />_. �' � <br />App!icalion No.%`' Install...... .Date�� :-'.;...'...� � .�.. <br />� <br />. . ... .. ...... 19 <br />, i . ...... <br />/ �--:.:..� .(. t r� <br />..... <br />,......in qpe <br />,, . <br />For ✓ - ,� . .. . „_ . � c �'c/ P <br />� , <br />er s <br />� ................................. � , ; . , <br />..............................:..........._ _. .... <br />O:i `"�'= �``: ✓'1:..:%.:�/.._' Street <br />� ._� .....�.�.�... �- -�� , .. ....... ............... <br />Lot.................... ....._........._................... Block Ne........._:'> <br />� .....................- <br />Addi;ion <br />_._.__ ......................._..... .. <br />� ` ._ ......................................... ...... <br />Remarks - • •_ - "`—' <br />i�� iri.- . ........... .. . ....................... <br />/ ._ . .. ... . ....... ... . . _ <br />1 �- .. ..... <br />r'. ..i � ... .,... /� . � �.� . � � <br />�� r�? �'� � `, .fiupermtendent= <br />� � <br />No. <br />J <br />LABOR AND nIATGRIAL USED <br />S.ze <br />.............._.. i Lcad Connection Complete <br />� �,�,,; .. <br />.:/._......_x._.� �addle Com�lete <br />,__ �,� ........... � . <br />f......... ....r.�.:;��":.{i?:1: �.s' ................_........PiPc <br />-�......_....�.. Seroice Coek /' <br />�L�.:�:': °. Servicc Box �D �`. �/7 . <br />.,._ (' ^ � � � - '� �' e r ' o- �-r ' i . ,• <br />..... ... l ......, . ..... .....�. <br />? ! / <br />.::/ �..'. la "._< ._.T,�.....'.,..�......r. . . � . <br />f� .; � .. ....................... <br />?�To. Hours Labor.........._..... <br />Cut in.......__........Pavem_n <br />,� �..u. ��. <br />iji<� � p(. <br />� �. <br />0 <br />�i/ <br />..... � .... ......................................... <br />........ ... .......................Sq. Ft. <br />............ ........................ .� <br />........ ....._................. <br />N� -- .................... .........._............ <br />Tota] ._._.._ ..............Sq.Ft. <br />----------- ------------- ------- <br />Remar!:s.........__ _. <br />....._ ...................................._.... _.......................... _........._... <br />_ .............. _....._.._..........----....----------. <br />. _.... _ _ ............. _... _................. <br />Order Recei��:�d...._..._....... <br />y _ lrork Compleicd......_....... <br />Fm eman <br />