Laserfiche WebLink
..� .._...w...:..� v� <br /> N.D.Fnrm 3 1�T� �'�'p <br /> s.J,rd�se v ...— <br /> CITY• OF• EVER.i��T--Watcr. Dept. <br /> . ; �� �, ;, : <br /> A , � 4�'. r..: , �� �- <br /> . , -, _ ..,�:r <br /> PPllcation No.��1---- Dacc;--_'-------_.--------19=�, <br /> /jv <br /> -� - ___.___..,,_�inch water service pipe <br /> � ,_' - , <br /> , ,_ _ , , <br /> Ins[a <br /> i r� r <br /> For --— -' -!- -�' - -- ----------=- --------- --------- <br /> --- •'- ' ' ,. <br /> �7 , / •, .�;� ,- <br /> On.------- .F-. _ -- — • � ---- Street <br /> , <br /> --------�—�1--� --------�----------- <br /> Lot----------- •--- ------------ Blockrlo..- �----- -------------- <br /> Addition -- -- •--•---:':"-w`J--------------•'-------------- - --- <br /> —/- <br /> , � : <br /> r Remarks ----'---- --��—; ;�_ . � _ , ( <br /> -----•---,----•y <br /> ---•--------- ---- ---•-•—------ ----'- -•--- <br /> (�i_. ..,:.;-1- '=- ------------- -�-- �--- ---- -------------- <br /> F-�''=-�-/- ��--- ./�.-: ----�---- -: ._--- -- -----------� <br /> ��'/ � �� --- <br /> � i 5 nenmendunt <br /> � ��� ✓I� _' � / __� <br />� , <br /> LAl30R AND \1ATEAIAI:�USEI) -� <br /> No. Si:c __.__ -- _— <br /> "'""'"""_'_' " "'""_'__. Lcad Conncction Camplem ',, <br />, ""'___"'___ '_'_"""'._. Saddlc Complerc • � <br /> "'" � � <br /> z � '_��. .t._ '_f''7"_._ __.__'_'Pipc <br /> -----�_-'-'-fe. . /�- -- 1 f <br />, "---- <br />� __"___"""' .__"____"_"_ Servicc Cock �. <br /> I "'_'_'.'.___'.'�'-_'..______'_. Scrvicc Bux .�� ... � <br />`I ----J------ I ---/-------- -F-;-�-�--f,_f,----�-�---4 -�- -�,--------------- - <br /> ---1-------- �---�--�='--- �-`--r_;:z.f>-"----_-=�°--=�:=_.��s=:_----=-'-��•-- -- <br /> - - � ---------------- <br /> ------ ----- — ---------- ----------- --- --------------- ----------- <br /> No. Hours Lnbor'_"_'___"__'___"'�=Cost"_/_'f�f""__"_""""_"__"_'"___""' <br /> Cut in""' • "Pavemcnc.."__"__"X.__"__"_"' __"_-_'__'_".59. C•c. <br />' _ `� n .(� : f._.' _"_.."'_'_X._""""_"_ .___"_'_"" �� <br /> � ______'__" •� <br /> _'_'_.____.' __.-""_"' _ <br /> ��� <br /> . �� <br /> ` `� ._'_ X__"."""" '__.___""'_ <br /> � �• Total ----------'—Sq. F�. <br /> Remarks-------------�-•---------------------- ---- -------—-- <br /> -�------ ----- ----------- �---------- ------------' / <br /> .---—— ----- ! <br /> - ---------------------------—------.__ . .--—-- <br /> Order Received -- ------- -- -------- --------—-- -----•-------�r1 <br /> Wotk Completed-•---- ------ ----- ------ --------------------- <br /> Forvmnn <br /> i <br /> . '�__ '___" __ _ _ '. __ �_— <br />