Laserfiche WebLink
I <br />�� <br /> i <br /> J �.?a:.r-( / � <br /> M. 0. 11M��� � • - <br /> _ =CIT'i OF EVE�E�'--Water Dept. <br /> ApplicationNo.l..�?..:�?rS'I.. Date..........��:.1..........................19..�� <br /> � Install.......�...............---�inc water service pipe <br /> /� / , /. '/, , <br /> For ....(�._ctlr.:.`�-..L::......._G.�J��a..�:L..`�'�:....................................... <br /> On ..........�/............�?2..c3:.�:3.'y..-a�[..............- ---- . . . Street <br /> ..... ................... <br /> Lot..............................................�/.....---.... Block No...-----�---...._................... <br /> Addition .......................................................................................................... � <br /> ltemarks ........................... ... . . ... ... _.._ . <br /> ... ..... .. <br /> ................................ <br /> / , � . :: <br /> . ...........................................C. wl../.k:�GL:.. t:Fl.h.:...................................... i <br /> 1 <br /> ..................................................................................:........................................... <br /> ............................................................................................................................ <br /> , Superintendent <br /> LABOR AND MATERIAL USED <br /> ..._No._. .........._Si e <br /> .,.. ,.,,. �:.ead Connection Complete <br /> ...................................................... Saddlc Complete <br /> .....................ft............................ ........................................................................PiPe <br /> ..................................................... Service Cock <br /> ...,,..,, Sc::ice Hox <br /> .............................................. <br /> .........................................._.................................................................... <br /> .......................................... .......... . <br /> . .......................... ........................... ................................................................................................................ <br /> No. 2�Ioura Lsbor..............................................Cost.................................................... � <br /> Cutin...................Favement....................X........................ ........................Sq.Ft. <br /> ....................X......._............... .....__............... �� <br /> ....................X........................ ........................ " � <br /> ....................X........................ ........................ �� <br /> Total ........................S4.Ft. <br /> ---- <br /> Remarks............/....f..... .................. . .. ....... .,..... ......................................... <br /> ............. . �',l�t:....l-�-.��.......�,(�..'.'.�..a...-"�..j''�.................... <br /> ..................:.......................................................................................................... <br /> OrderReceived............................................................................................... / <br /> \Vork Completed............................................................................... ........... <br /> Foreman <br />