Laserfiche WebLink
� W. U. Fonn � mca � i.iata r <br />CTiTY OF EVERE�"I'---Water Dept. <br />Application No. L�-b•;J. 1te. �... _� / 192....._� <br />� Install ��Y inch rvater service pipe <br />For_ _ I.J. o�v�.-+-y-b�.J__ `�"� CiJ, ,i.., —�� _ _. <br />On..... � ?-� I _....�'.�.._�. � � 0 ... . ..... .Street <br />Lot_ ......... ... . � � _ . _ _ Alock No. _ ..... ._.__.._.. <br />Addition........_......_..__.._ .............._ ........__. ..........................................................._.. <br />Remarks ................ _... <br />.. ....... . <br />................._._ ._........................._ ......_._........ _ ...... _ _._ <br />_ _..... ..._ . .... ......... <br />� � • ��A, � <br />_...._ .............�................ � �pc m�dcQ/J�d'_'�'y_. <br />V <br />_-- --' —..._ —�'—"— � —,_— - <br />�__"__--- _.�_ ____-_,"—""_'___. __ <br />1.1I30R AND n1A'1`ERIAI IISF:U <br />--------_ __-----.._.__._. _.. .._._..__—. <br />/ I Sizc <br />-- ---' __ .. - --- ----- ... <br />.............0......_._I....,Y.'_�!�<�Lcnd CannecLion Con�plete <br />.......:::................I...................._.; Snddlc C,ompletc <br />� ., � <br />.........�_.........ft.11 .......: �� ..`.�. ;<�.t :.:.......:.........._.............Pipc <br />1 . ry. ........... .. <br />......... ..._�i.. ��.........I Scrvicc Cock <br />C° , �r�,iFJ Servicc Box <br />.. .. ... .............._ ' ....... ..... <br />........._._...I <br />. .. . .. ........ ........ <br />� ..............__... -___.... __......._....._........_._.._......._._......................._.......__.............. <br />.. ................................ ... ......... <br />y ,� <br />No. I�Iours LnLor ...............:":......................Cost...�.........�..............._.._.................__.. <br />Cut in........- :::............Pavement....................X_...................:.. ............__...Sq. Pt. <br />....................X........................ „ <br />.................... <br />....................X........................ �� <br />..... .............. <br />......._...........a ....................... ,� <br />................_.. <br />Totnl ....................Sq. Pt. <br />__...-. .-,_ -_ '— -- --_ � <br />Rem�rksl� ; �l �/��� � _ _. _ <br />_ <br />� J <br />Q�.�, 9 �F_7 LL9.� .i1.vY..�iT:C�� > 7/FCIC/� ..._ <br />..._...__ . .._..__... _. ..._... ...._ . __ ........ ..... .. _........ _..... .. ._................. <br />Order Received ... ...... , <br />���ork Completed y �: l. ,: r tt t �:, <br />���ma� ,:; �� <br />