Laserfiche WebLink
S 1.P,4LelAi' S'� 5/8 : ✓ :�s , . <br /> W. U.form l ' • - <br /> CITY dr EVEREZT--Water Dept. <br /> _ : :� <br /> Application No.�--:��'��.. .I..�.. j�ate.. `:.:...._:::.............L.._�........19':':� <br /> //�h .'. . <br /> Install..........:.-...................inch waLer service pipe <br /> FOI ......................................................................................".." <br /> ........................ <br /> .� " "_. .�._�.. <br /> On . ..........:�a._'..�..%..."....._=:.:��..�`Li................................. Street <br /> — , � <br /> ffi' Lot.......... - .............._�- ................... Bloc}: No....._...ar.::::':.'.............. <br />' Addit.ior. "" <br /> ... -......���._................ . <br /> r... ............................................. <br /> Remarks ....................1..,:«� '.i'.`..:i1::.'.'�,. <br /> ................................................... <br /> i � <br /> ..-............................................__....................c'._......{...............� <br /> . . r.............�.......... <br /> �J.:I ti� ...��.�j r:f � .C. <br /> r _.....- .....................................................................:.:.{:..... t.:.....................--- <br /> I _.... ....._............................_._..._...................::...:.....�....,.........._ --•-�---- <br />� �'_i � � ; � � r, <br /> .._._. ........_._................................................__..................... ......_................... <br /> , Superintendent <br /> LA30R AND hTATERIAL USED <br /> No. I Sizc <br /> -------� --- � <br /> ......._................_I.........................�� I.ea,i Connection Complate <br /> I ... £addlc Cmnpleig� ` <br /> r........�........._ , 7 �I, ' �., l . .•. <br /> ....._.....�.5...f t.�........_�...c..�.....I ...._._...................._..............._.:........s...�:._P i p c <br /> .............._......_......................_..._.� Service Cock �' � <br /> ..._._......_.........__.................._..... Servica Box <br /> ?Qo. Hmu�s L2Uor._...........................................CosL............,..................................... <br /> Cutin....................1'avemu�t.................._X........................ _......................Sq.Fl. <br /> ....................Y........................ ........................ �� <br /> .................... ........................ ........................ <br /> �� <br /> .................... ........................ ........................ <br /> ,� <br /> Total ' ........................Sq.Ft. <br /> �--- ------- -------- <br /> Rersmarks__........_....._._............... ........................._.........._............................... <br /> _..__.._............................................_....._........ .._............................_/ <br /> OrderP.eceived....__........._............................................................................. <br /> � , ' ,-' <br /> �corlc Comple[ed........--..:....�..:..`..L.:......... .........._....:"....,!c�':.'...:...:...,. � <br /> Foreman <br />