Laserfiche WebLink
' �'� 7 9 J�' ' ' ���r?._�-' <br />w. o. ronH � <br />CITY OF E�IERE'1 i--Wa.ter Dept. /' <br />_ � <br />5 — c:,,-. <br />r\pplicat�n No.��i.���. .� Date....�...^......� � .................19....-- <br />�.� Install.''}�.`f.., .... ............inch waler � vice pipe <br />1Ci/yJ�L:.G: j../ ,yLl/I. =�' (�tt�,a. <br />F .. <br />I'DI' .....�� ............................1.....�.......... � ........ f .1:............�. .........'.. <br />. <br />' �� � -' %'f � / � � <br />On ........� :............I...........J..�..:7.:��.....�:...:`--�`�----.....r. Street <br />� <br />Addition .........../.•�l.J..'.:f� <br />Remarks ........... ........... <br />O �% , � <f���� <br />LABOR AND MATERIAL USED <br />� ,No. ° � � Size I <br />-- — — --- <br />` � -�� � Lead Connection Cornplete <br />�. <br />............................:...................... I <br />................................_................... Saddle ComPlete <br />............:.. r�......f t. .............. �............. ........................................................................Pi pe <br />........................:.............:. ..._..._... Servicc Cock <br />...................................................... Ser�ice Box <br />Nu. Hours Lshcr ..............................................Cost................................................... <br />Cutin ....................Favement....................X........................ ........................Sq. Ft. <br />....................X........................ �, <br />........................ <br />....................7�........................ ........................ ,. <br />...................X........................ �� <br />........................ <br />Total ........................Sy. Ft. <br />— --" ----- ------ <br />„ <br />Remarks..........._.....:.:...._! ...::...............................................-- -.............._...... <br />... ...........................:...................................... ................................................ <br />.......... . . . ..:.........�......:.....;.......................................... ................... <br />� ....................................... ................................... . <br />....... <br />�Vork Com leted. � ` �' ' � � � � � ' <br />Or er . eceiee ...... <br />„ <br />. <br />.._...__ ...:............._......:;�.... __(......:............_........ <br />Foreman <br />