Laserfiche WebLink
, W D. K��m! IaN 11.10.I1 � � . <br />CI1'Y OF EVERE �T-..Water Dept. <br />APPlicatlonNo._D.�%O'-t.. Dute.__ a- /�7 / <br />_.... / _ 192...b <br />Install _ ��� �� <br />� _. inch water service pipe <br />t�or .. .... .. �°�-�.v 9-. .. .c� p , _ <br />On .. ...�-v . �- .� �7�1 ��--�� <br />� _. <br />� <br />���� � Scrcec <br />Loc Block No... .._y t/ � d........... <br />_� � <br />_..... ....2..._......_ _ ...... <br />Add i Hon ................... ...... ..... <br />............... ....... .. . <br />emarks..................................._................_........i....._ ..... ................................................ <br />........ .. . ......_..._......__..._............................---- <br />_ _ ...............___._. <br />......._ ..... _......_ ............. ......... .... . _. <br />.............._ <br />.............. .............. <br />_ ..... ...... . ......... .. .. ....._ . <br />G' �' �LR-a, _ _. ....... <br />... <br />�.� n� - ►�a-�-�'i <br />— -- � <br />xo <br />I.ABOR AND 111pTERiAL U9F.0 � � � <br />__ _ ❑ e — . ... --- <br />-- — � - � - -. . _ -- — . <br />-_------ -� - - <br />' --- <br />� — <br />..........,(.. � ---- _ . <br />� �'- �� . Lead Connect�on Complete <br />......................�.........._............ Saddle Qqmplete <br />......._!_............� ......,i-........ ..���..f.4�t:'•..._ .................._......Pipc <br />........%-......... <br />�, <br />��- -�r�--�--- � � Scrvice Cock <br />........._l .............: ...5�.'�t.�c. ". <br />� Service Box <br />................. ......... <br />... _.. _ ....................... <br />_ . __..........._ . , <br />Nu. Hours Lnbo�........ G ...................._...Cost.....��.�'� — __. <br />....... <br />Cut in._ .............._ ......Pavement....................5..._...............�............................... <br />_.. . <br />. <br />....................Sq. Ft. <br />..................- �, <br />........................ <br />.................... <br />.................... X........................ <br />.................. .. <br />. .............. ....................... ..._.......... <br />____ _ Totnl <br />-_-___-=-.-_ ....................Sq. Ft. <br />Rcm�rks.. pT,�lr^:.J.F:I i�'. J.�'� A 7 �_ ___�_---- <br />- <br />/ � ' � �_�. �.. � .... <br />- �GC 9. �t-.4/'�2-d ' - J _ ._._....... <br />_. . <br />", � T..� fz,.< �«a-G,��,•4... <br />.____ .. . ....._. ....... _...... <br />... ._ .. .__. <br />Order Reccired _ _ <br />_..._. <br />\��ork Complcted �7 <br />( � _.._ )� f✓ <br />Y 1'or m� <br />�:, , ` � <br />