Laserfiche WebLink
W. O. fOPY f S� /� • • <br />� �CITY OF EVERE"IT.�-W'ater <br />r_ <br />/ 7 �c5 L�� <br />� 1 <br />Dept. <br />�=:« ; d'. i / � <br />Application No.....�.../1..J.. Date .......................�......................19...G"'. <br />� Snsta/ll ./.......... .................inch �vater service pipe <br />For .......��.._i.:........_C.� =.��:.�...�.%�: �_ ....................................... <br />_ �� <br />On ...........:�..1.... J..�..:_,�.!'..::.:z.:.:.s. .....� . .._.,:.� ::................ Street <br />Lot.............................................................. Block No..::................................. <br />Adiiition........................................................................................................ <br />Pc,narks .......................................r............................................................... <br />_ ................................................._C .�...�_�..!�.;�,t.::'...�P...:.::...._.................... <br />. <br />........................ .................................................................................................... <br />'�`Y ............. �..`.'�..� ..:........... ............................................... ................................ <br />/� A _,/ � Superintendent <br />LABOR AND MATERIAL GSED <br />.....__...._i Lead Conncction Complete <br />.._...._....., Saddlc Complclr. <br />........................ .......................................................................PiPc <br />........__............ 3ervice Cock <br />............._....... Scrvicc I3ox <br />Na Aom�s I.sbor ........................... <br />Cut in ...................Pavemcnt_.__. <br />........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X....................... „ <br />........................ <br />Total ........................Sq. Ft. <br />-------- --- — <br />---- <br />Re�narks ............................................................................................................. <br />OrderRecci��ed .................................................................................. .......... <br />lVorkCompleted....._.._ ....................................................................._..:.. <br />Foreman <br />