Laserfiche WebLink
��:S;;E1ur''n . . .. <br />S.J.hiebNM;.lG29"1 ��• � . <br />R'. D. Form ] ' <br />CITY OF E�'ERE�I"i --Water , Dept. <br />„ . .- i - ; <br />Application n�o..,�_�...:!..:._�.'... Dat" .................--..:...:i...;'..;:....._19.:.': r <br />�i Install ........:..:..='..:-'........inch water service pipe <br />,_ __ <br />; <br />.•...::, � �. , v ' .. 7. _L ...:....:.::.: `� '.....�..... � I <br />For ............:..�--....�.:.....:.......__.,:r!.•-�:........... .............................. <br />On .........: �..�....�._�:...:....ti'.'.7 �. `�.=�....... <br />� ................................. Street <br />r.,,r _ - -.. Black No ................------........----- <br />Addition.....................................................::............................ <br />'' � � � �._ � . <br />Remarks ' -, � ; • <br />� _. � .._ :..............._.......:::...:. <br />............................................. <br />t <br />Size <br />LABOR ANiD MATERIAL UFFP <br />Lcad C:�nection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours L.�bur ..............................................Cust............. <br />. . � Cut in........._.. ......Pavement ....................X....................... <br />�% �� � l--� .................._X........................ <br />. <br />= / �. I - <br />��. �' ( ............._.....X........................ <br />�// �`� ....................X........................ <br />� �/ �f / '� �� Total <br />Superintendeat <br />.................................... <br />....................._ Sq. Ft. <br />........................59. Ft. <br />.. .�, � 'o- , . ... <br />Remarks...:.....�,........:,:t ) j ...:':. ;: �:..'.::' ::...................._...............�_........... <br />_...... _............_ ....................j................................................................................ <br />Ordcr Received..... . ............. , . . . <br />\'cork Completed... �.._::'r . � .r ............. .... .... . ' Porema� <br />� <br />