Laserfiche WebLink
� � .3 �/ i�.� �v� <br />w. o. r w � ' V <br />- `�ITY OF EVERE� T--Water Dept. <br />Application No.L.:S.:..:r..7.� Date...........5 . ��. ........19._�� � <br />.. .. ................ <br />� /Insta]] ...................r :.......inch water service pipe <br />For ..........�c.:.._d..1..c..n�.a�........._-.-:.�..r.�a.;.....�.r.:.::r.::�......_ ................. <br />� �� �, - � <br />On ........._�.:a.:..J....:_,..::�.._.......�::<.;...^.�z.,.:a�i :..:.... ........... Street <br />� ....... <br />Lot.................................. .......................... Block No..................................... <br />A.lilition ............................................. <br />................. ....................................... <br />Remarks ............................... � . . . . .... <br />. ... .. . .... <br />. . .. ........... . .. ...... . ... . .. .. . . <br />_ ...............................................:.r..x.z_r.i,f:: %c?..�a•1.,�:.....-.-•- <br />f... . ...."""'........ <br />..................................... <br />Superintendent <br />LAROR AND MATERIAL USED <br />No. i Sizc I <br />Lead Connection Complele <br />Saddlc Complele <br />Pipe <br />.....�........._.........I Scrvice Cock <br />Service Box <br />No. Hou�s Labor ..............................................Cost.................................................... <br />Cutin ...................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />• �� <br />.................... ........................ ........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. k t. <br />-- -------------_ <br />Rema rk� .............................. <br />.........................................................................- <br />............................................................................................................................. <br />OrderRecei�•ed .................................................................................... ....... <br />\Vork Comple;ed ...................................._..... ............_......................_..... . <br />Foreman <br />