Laserfiche WebLink
;s'3 �S� 1 ;�,% .;: %, <br /> v <br /> W. D. f M ]• <br /> � CITY OF EVET�E';�`I'--Wat�r Dept. <br /> 1' � / :, ) <br /> Application No. .._L.::.,..../.:., Date..........r........�.........................19.�.:.�. <br /> . � , Install..........7..................inch water service pipe <br /> - J _L- <br /> � -' � <br />. For - ,� , ., <br /> .Y..,�.0 , <br /> ' ;.�.. ,._... .........._�<�.�.:- .,[:�_ � .... <br /> ` ;�.:.:..r.:*.:i:..�.... .......................... <br /> , . . .. ...... <br /> , �i' On .............�'.'7��4�T....-�3...�J..?.:�: ,. -i.... ................... Street <br /> _ ` " 2� � <br /> . ........ <br />; k` � Lot.............................................................. Block No..................................... <br />' ���'�: <br />, ,, :1�ld:tion ......................... <br /> ............................................. <br />� ''•�:' , <br /> r':, ' Remar4; ............................._..................._.........................................---....... <br />� 9�:� � %I/ �i-� , <br /> L ...................._.......................1..::.�r.r.:.i.!-.::_:-:...�<;:a.;._'..............................-- <br /> :�0 � <br /> ............................................................................................................................. <br /> .............................................. ......................................................................... <br /> Superintendc�:. <br /> LABOR AND NATERIAL USEll <br /> No. j Size I <br /> —' , 7-- <br />. ..........................J...........................I Lead Conncction Cemplete <br /> ...................................................... Saddle Complele <br /> .......................ft............................ ........................................................................Pi p c <br /> ..................................................... Scrvice Cock <br /> ...................................................... Service Box <br /> ..... ....................'-............... ..... ..................................................... <br /> I ........................................................... <br /> ....................._...i.......................... ..................................................................................... <br /> No. Hours L�bor..............................................Cost.................................................... <br /> Ciitin....................Pavement....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br />�, ....................X........................ ........................ <br /> �� <br /> ....................X....................... �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> — -------------- <br /> Re�n a r ks..................................................................... <br /> ...................................................... <br />� ....................................................................................................................... <br /> OrderRecei�•ed..................... ...................................................... ....... <br /> . ..... <br /> \Vork. Completed ........................__........_.............. ........................... ......... <br /> Fu�c an <br />