Laserfiche WebLink
, <br /> �`.-rnirm>w � � � r` I L/ • / <br /> w. o. roaw � � /) <br /> C TY OF EVERLiTT.Water Dept. / <br /> App]icalion N��.,=.:F `7 'J, � � <br /> ....... Date�....................:..........................19-�--• , <br /> Install..�..__._�i.._..._,�nch water service pipe <br /> For ................... .............................._.................................................... _.--- <br /> � , ,, �� .. .. <br /> On .......... r. � ., . . . i <br /> .........._ r . Street <br /> . .. r............... <br /> ...........�..:..�.....�.._`:...._...._:. ....... <br /> iot.........��z'.�...................................... Block No..................................... <br /> Addition <br /> �......:.........f...,............................................ <br /> T�.emarks ........................... <br /> , , <br /> _ ,. • ., <br /> .. .........{:....::...,._•r--':.t....�....:.:...:........�.:..''------- � <br /> � :� - ......_. <br /> � f::.�:��4 <br /> _...........iR.. . .u_�./�sy_'I....i:a.....L�:_u_.::::'.........:�.:1.'. �'� <br /> � �� ' / ........................" <br /> .......""'.........................�..... <br /> .....J:.....................................�:............................. <br /> ........................................................................ <br /> .......:.....r4...........:.............. <br /> �.......�__..._.............. l -: <br /> ............................................... , . , <br /> .�......y.....:. � J: <br /> � � Sup�ir,r�end�t <br /> �__-_ -_._ � `",�i <br /> LABOR AND MATEBiAL Q9ED <br /> --- No. i S�ce � <br /> ������--�""��--:� I I Lead Connection Complete � <br /> Saddle Complete <br /> �/,5..rt....._�.z.`._......... <br /> ..........- -..._...... <br /> _ � <br /> ....._._.. . . <br /> ..._ .,�✓ �..._........................................Pipc <br /> _.__.........__...�..'._�1... Scrvicc� <br /> ...__.............- Servicc Ho� <br /> 1..�.......................... <br /> . ............................................................................................................ <br /> ........................... ..__.....�.............. <br /> ..................................... <br /> ........._........_.............._. <br /> Nn. How; Labor..._......_........................_....._Cost..._....---...................................-- <br /> Cul in......._.._._....FavemenL...................X............_...._.... ' . <br /> � ........................Sq.Ft. <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ .� <br /> ........................ <br /> ----.._ Total ..._......Sq.Ft. <br /> ___�__ ............. <br /> __ _..__ � <br /> . - ..� _ .__-- <br /> Pi.111�S1r_�.i....................... i _ <br /> ....................h�:x_7�c..,... <br /> _.... .._..... <br /> / . . ...__._ . <br /> .._....._._..._._....._....._...._...._./..U..�.!j.kE<...,:.C.�LI c7'-c.. . <br /> ' - �-qs-a..�........_. <br /> ......................................................3. <br /> ........:>.>-.1.C.,L.iG....................... <br /> . ............... <br /> rdet <br /> , <br /> ..ecesed.._....._...................................... <br /> ... ......................................... <br /> 1L'nriz Cmnplcicd......._...:..: - <br /> .............._..-................. ........ .._._._..._............. <br /> Foreman <br />