Laserfiche WebLink
� Y� � <br /> r ) <br /> W.D.Form l 1000 3d.2E � ' <br /> CITY OF EVER� ;E;IT--.Water Dept. <br /> Application No....._..�.�'/. .Z. � , Late � � -/7 <br /> ... - _....._.1�_. <br /> � <br /> Install ......_2.'' __inch �v;�rer service pipe <br /> For _. �� � n„ , <br /> _._. _ ._... — �.�:` <br /> /,� _ . _..... <br /> ' �° ......./...� �.� .._.....u[,-�q„_.�_e.v_._... ...._. Street <br /> . ......_... <br /> Loc__...___.... Block No. <br /> .........__.. ... .. ...__ <br /> __._...__..._ ........._.._......__ . <br /> Addicion ' <br /> � _ _ <br /> _._...._........._.._...._. <br /> _.. ___... <br /> ' Remarks <br /> _ _.... ..... ..._-.. . <br /> � __. . <br /> _ __..__......_ ,_..... _._........... <br /> __. _ .........._ . .._...__...._... _.... .. _.._................ . <br /> .. _.._..._......... <br /> _ .. .. . _ _. _ <br /> __._ __ <br /> ....._.. <br /> _ _...... <br /> ... ._ _ - . .. ...._._. <br /> _.. .. . .. <br /> _.. . . <br /> � �. r _ _ . <br /> � Suoerinm �� �/5��� <br /> _- - _.. .:—„—-__ __ . ��'"�"� <br /> _ �_, .-_ -._ <br /> ..—__ __' - _>- . <br /> LABOR ANU T{AT'ER1AL USED - � � <br /> - -- --_ - ------ ---- <br /> No. Si:c � ----`—�--� <br /> --' <br /> —_—_� . . . . _ .. <br /> � . __ _. _ _.. _ .__ _ _____ . <br /> - �� �-- �-.,y.' . . Leud Conncction Complete <br /> �.___. h i _a.A G ".. i Saddle Completc <br /> •• ; . � <br /> . ._. . ._y. . . _ .���....__. .. .. ..Pipc <br /> � -. I ..r � S:rrice Co<k <br /> . / . - I �J. � i Scrvicc Dox . <br /> . .. ...... "'...._ , <br /> .. . .. ... ._ ...__ . . .. <br /> - I.. . ... _........ . .. ........ . <br /> . .......___.. <br /> . . .. _.. � ..._ . . _ . ..__. <br /> ..__....__ ......_. ...._......_.... . <br /> No. Hours Labor .___� . . —'- � — _ .__. _. <br /> � _._ co,� 3 � <br /> __ <br /> __..._ <br /> ut in _._.. . Pm�emcnt _.X <br /> . ....._ . . .. . ....._Sry Ft. <br /> _.._ <br /> . .....X_....._. .. <br /> __ . . ........._. .__.... <br /> . . ._.....X......_....... �� <br /> . _.. . ___.... <br /> . ........_ ... <br /> \ „ <br /> Total <br /> . .. . . ....�. Fr. <br /> '„?"t',`-'�"q -�--- --- . ... . <br /> - _"_ <br /> i' ;o.. •cn�arks i ,- - <br /> j..::�nal.Siiu ��o._�.7. <br /> ,, .91�s _. <br /> _ ...... <br /> -. - _. • <br /> ... <br /> . ..... .. . <br /> ;�.��3: n .. �� � �� y ... ... <br /> /„v /'�/J4L..�li�L . "NJ/filYL�'i/J/� <br /> l;:.l�t Rrtr�ivV�. ... . <br /> . . _., .. � <br /> ; �� �,;,�.� -y ��' . �, <br /> , � ; _ _�o. , ��. ,, <br /> „ a; / <br /> f <br />