Laserfiche WebLink
5 J Prie6eiM7.46�5�� �O . _ � �� � <br /> W.u.Fom J `:� . <br /> CITY OF EVERE'�I'--Wat�r Dept. <br /> � � . _ - .� <br /> Application No../�::...I..�. �ate�.............:.........:...:...�..::../.....19---, <br /> � t..= . <br /> . Install.......:.1...:...............inch water service p�pe <br /> . .a .• ._ <br /> _ . , . ;'t_ .. -- <br /> For ..............._r.':.....::..;........._................1.4.:-..�.._i..........-._...._:................... <br /> ' TI � --' <br /> On .._......�:..:......�.........:...-:...^..:.`......:....::.......'....... _�.r:.C..�.-fs�reet <br /> Lot.............................................................. Block No......................... <br /> Addition ...............(�...................... ....................................... ................ <br /> ...... <br /> ,___; _ , <br /> � � :.:�:.:..::...:....:.:.. l. ,. ., <br /> Hemar.cs ..................�1 ..........................::..�_......`...... <br /> ................................................_..................................:........................... <br /> i�, � . . , _ , <br /> ......._.....................'....:...�.�..f_..'c._'c......:..�._..........._....---_................................. <br /> . ✓...-...........................................................................�-- <br /> ..............�........... <br /> ... <br /> / � . . / ,� :--.-.. • <br /> / l , <br /> ...--.�......�....... .................................::t........'.. .._.:....::.... � <br /> � ,' � � �Superinlendent <br /> / �. <br /> , � � <br /> '� ` 1 �� LABOit AND MATERiAI, USED <br /> f <br /> • Size <br /> ',__ ..� --' ._-- � <br /> / ��. _ <br /> �.�.,..:�.p�,4,:�.�Q ........................I Lccd Connection Complete <br /> ,`�;.`.:�;,�a�- . . i 3odele �amplete <br /> ....... � ... t........................... ........................................................................Pipc <br /> ................................._..........._...... SetviccCoc': <br /> ........................_................_.......... Srrvice I3ox <br /> ......... ... ............................................................................................................... <br /> .._.._........................................... ..._.........................................__................................................... . <br /> __ <br /> No. I-Iours Labor..............................................Cosl.................................................... <br /> Cutin.............._...Pavemen........_..__.....X........................ ........_..............Sq.Ft. <br /> ....................X....................... ........................ �. <br /> ....................X........................ �. <br /> ........................ <br /> ....................X........................ „ <br /> ....................... <br /> Total ....._..............._Sq.Ft. <br /> �---------- -------- -----� -- <br /> � .:, , -= <br /> Remarlcs...... � �/..........:.:.:....:.:....._. <br /> .....::......................._.................. <br /> ...._�:... <br /> _._..................... .._.........,:...............................:.........._..__....._..................:..... <br /> ..:....:........:...........................................................................................:.:.....:....... <br /> CrdcrP.eccived._....................._._.............................__................................ <br /> \\'ork Complcted........................................ . ` <br /> .._......._ ...._..........:. <br /> Forem <br />