Laserfiche WebLink
��� � � /�� .�7 .j��:- <br /> . o. rorn. e�r''/ <br /> � CI'f Y UF EVE.�:ETT--Water I�ept. <br /> -- - � _ <br /> / �1 � ' � � .....is..._C- r <br /> . <br /> Application Nc _..?_. _./. .'� llate....................:......._ . <br /> Instail......................._7. .inch water service pipe <br /> F�r _;�r�,�--!:!..._....,. ...-- .....�!7��..,.::::._............................... ... <br /> � ..2.. ....:.7��:���.::.=I_........._!� .. <br /> On .......�.:t'-.: ...................._.. Street <br /> Lot.................... .� ..........................� - . Block No..................................... <br /> Ad�lition .................................. ...................................................................... <br /> ..—� . <br /> Remarks ....._......----........... ::�1t2.c:�.c!..L.«.z:.................................. <br /> _._.._..........................---...................._......................................----..............._... <br /> , . i ' n 9 <br /> � _......... <br /> .�.4�...!--�.. ..t:.`............ ...r.7�...................................................... <br /> t . . <br /> r <br /> .........................................................................................................................'-'- <br /> ........................................................................................................................... <br /> Superintendent <br /> i.AB02 AND hiATGRTAL USF.D <br /> ' Sizc I <br /> No. i _ — <br /> _—_..__. _.__.---._'..___.— <br /> ........................_II_....................... i Lcad Connection ComPlete <br /> ._......................................__........_, S�ddlc ComPletc <br /> .......................ft............................ .............._......._....._..............._......................Pipc <br /> .............................................._..... Service Cock <br /> ......... Seraicc Box <br /> NaHow�s l,aboc..._........................................Cost........................................_......... <br /> Cutin......._........_.Pavement........._.........X_...................... ........................Sq.Ft. <br /> ....................X........................ .� <br /> _............_X._..................._ �� <br /> .... ........................ <br /> ......_.__.......X........................ ,� <br /> ..__............__.. <br /> Total ........_.............Sq.Ft. <br /> ----- --�------ <br /> Remarks.._........_....................................... ..___......... ........._.......... ........ . <br /> ......_.........................................................._......................._....... .............. <br /> .................................................................................................................... <br /> OrderReceiced.. ..............._...._. .........___........__....._........._...................... <br /> \VorY. Cor:�plcted......._.._...._.... ... _.__.._... .. . ._ _...._.._.. ' <br /> ..__............_I•'oremnn <br />