Laserfiche WebLink
,/� <br />ti1."lebNM::b7�:�',5,4 V •• ✓ � � <br />U'. D. Form ] <br />- t;ITY �)F EVEREZT-���'aater Dept. <br />, <br />� �-, .. <br />��� l - �-...�........i�.... <br />.9pulication iv'o..� ...................� te......... c'....._ - - , <br />Install.....��= ......... .... =r,ch water scrvice pipe <br />For ..._ _.... _ ................. _ .......... <br />.... <br />... ...... ........ <br />. ... ..... <br />�% _. <br />..... ....... <br />Qn 1��Y_L......:..`:.t....._.�t-....�:�-±.(l-. .. Street <br />.................... .......... <br />.. ................ .. <br />�Ar............... Block No...... �' � .. ................. <br />L,oG......._- . ................................ . <br />r\c:cli':ic� ............................ .......................................................................... <br />i�emarks ...................._--...................... <br />...... ......................... ..._.--.r-............................ <br />_. _.... _...... _... _ ... ............................................................................... <br />�-� . n . .- � ..--- ...................... <br />� .......... ....... <br />f��f•-- �._ ... <br />...........:y_.. <br />LABOft AND MATERIAL <br />Superintendent <br />�*o_ i Size _ -_— <br />--- ------" _ <br />I ' I..cad Cnnnection Comf�lete <br />....._..� ......................�..�.._......_..._��I :9adc'.'.c Camplete <br />.._ ................._ft.l........................ _. .. __.. ..............._...._....--................. <br />................PiPe <br />........................... ................. <br />._.......I t:crvin: Cock <br />_ ......................... .... _. . <br />. _.......I Service IIcx <br />...._ � _......__..._.._............_ ................................._........ <br />��o. ?��o rs lir.a ......................................... . . . . <br />%........................59. Ft. <br />t�ut � __......_. ... i'.�.ccmcnt._...._.........X ........................ <br />� :..X ........................ �� <br />� � .� � : : _X . ....... ....... :::::::: :::::::� : ;: <br />, X.. .. ... . .. ... .. <br />. <br />I �� � � Tot�l ...Sq. Ft. <br />� � � � . ......��......... <br />R; raark�.�. ................................. <br />...__ ............................................ . <br />_..._.. __ .. ...................... _...._................_......_......__...... <br />_............_.......--....._ .............._.. - ............... .............._,.. <br />tlyder .':ccciceu _ ................. .._......._............................•'........................... / <br />..o ) .............................. �� Fo:eman <br />.., T_ r. <br />�.� n[., n; �lr_[C .........__....... <br />