Laserfiche WebLink
w r <br /> /�`' � l 19 �r-� � <br /> w. o. rdnr� , � . ' . <br /> CITY OF EVEI?�TI'--Wat�r T��pt. <br /> � , ��� '� ` - <br /> Application No..._.`.:... ....... ._. Date.........� ...�..... ......................19.��, .�_ <br /> T�stall...............................inch water service pipe <br /> � <br /> (", �, c_•���;. .-�--- U..�7:�.���.a�:.�.��. <br /> �or .............-.................... �-` ......................................... <br /> On ._......._�.�..._..5-.:1•\-�:.�_'.:\:�:.:� —�1.:5:._....._...._.... Street <br /> Lot ._....C._........................._..................... Llock No.......�`�........................ <br /> :,9dition ..._.F�-S1Y�S.:t.::1_y::�.:.�.�.::..................... <br /> ............................... <br /> Remarks .......................................................................................................... <br /> ..........................................................................................'---................................ <br /> ........._.......................--.............----•-'-'--._.........................---.._-............................ <br /> .............................................................................................................................. � <br /> ...._'---.........___.............--_...--'----................................--'---................................ <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No, � Size I -- <br /> �. . .. . . ........................_ T ead Connection Cemplete <br /> .... <br /> ......_..........................._..........._... Sad31e Complele <br /> ....._.............._ft..............._......._.. _._...................................................................Pi,�e <br /> . .__............_.... Servire Cock <br /> ............................. <br /> ...................................................... �er�ice Box <br /> .....................................................I ................................................................................................................ <br /> No. Hou�s I.aoor..........................................._.Cost.................._..........._.................... <br /> Cutin.................._Favemmt._.................X........................ ........................Sq.Ft. <br /> ....................X........................ ,� <br /> ._. <br /> ....................X........................ �� <br /> ........................ <br /> ....................:{........................ ,� <br /> ........................ <br /> Total .......................Sq.Ft. <br /> _—__—___— <br /> Remarks-.-.._.:...�..................--..........................._..._..... ...........---................. <br /> ��, �;� � <br /> , - <br /> ............................ f............................................................................-- <br /> ... <br /> ; .. ._. <br /> • -7 <br /> ..................t....`.:....... "'"'"".. .��...:�.............................................""".............._.... <br /> OrderReceived...................... ..................................._.................. ............_ <br /> \Vork Complct��3.._........._.. ......_....._._........................._......................._._. � <br /> Foremar, <br /> � <br />