Laserfiche WebLink
/O /`l��/� -- <br />�'. o. ron.�o � I <br />CITY OF EVEt2E�T--Water Dept. <br />ApplicationNo.�..�.-�%."tL.i�. Date ..............J........_L....................19..�: � <br />/ Install .................:........... inch water service pipe <br />. , <br />Far _v�:�/G.C.r :2. �..y..._._. .. :::.<.r:.r.i...: �.� ::.: .................................... <br />,_. <br />On ......... �...�.�G? `�_:�..._'.._.:.c.:..i.:....< L.::..i. ;c ..................... Street <br />T.�� _ ---...._ .................... Block No........._.......................... <br />Ad�iition .......................................................................................................... <br />Remarks...................................._.:...........................:.:.................................. <br />_ .........................._. _. .............. .11� :�:-:�:.�.:!:�:::............................ <br />-, <br />_ <br />�..........�.��.. ........................... <br />y � <br />............................ .......... ..... <br />Superinlendent <br />��— .0 - %U <br />LABOR AND MATERIAL USED <br />A�O. I SI:C I <br />Lcad Cnnnection Complete <br />Snddlc Complelc <br />Scrvicc Cuck <br />Scrvicc Box <br />.... _ ................... <br />Yo. Hours LaUor.._ ....................................... <br />Cut in.........___..._Pavem_nl........._.........X. <br />.................... X. <br />.................... X. <br />....Pipc <br />.........SQ. Ft. <br />....................X............---......... �� <br />........................ <br />Total .......................Sq. Fc. <br />----- ------ <br />Reinarl:s ............................................................... .............. ....... ...................... <br />_...... _ ... _ _ ......................................... _..................... _................ ......... .... <br />.......................................................................................... ............................ <br />OrderI?eceived ................................................................................ ........... <br />\Vork Completed ....................................................................... ... _. .... <br />Foreman <br />