Laserfiche WebLink
W.s, e�L .233 8 <br />CITY OF EVET .ETT--Water Dept. <br />coph.: 19 Application No ------------ Date_______________ <br />Install..__'_ _.inch water service pipe <br />For --- -_--"-----•---- <br />On_--__-_-• r / ! Street <br />•=•---•-----... Block No....--`-= =----------- <br />Additit,n . - ... _ <br />Remarks---------------------- ------------------------------ <br />-------------------------------------- r.................. <br />'----- <br />-•-----•-'----,----- <br />---------- !-------- <br />LABOR AND :MATERIAL USED <br />No, Size _ <br />____________ Lead Connection Complete <br />____________ Saddle Complete <br />--------------- Pipe <br />Service C c.4 <br />-'. .......... ...... .'—"-._.. Service Box <br />-------- ---" Lt4 _ �r_y :-__. <br />[.._._._...'? ='--------- G -= =•=�> _. f .f,--,- '- ---T----------- --- <br />No. Hours Labor__________________ G _ Cost.[:_ w---------------------------- <br />Cut in ............ Pavement. ----------- X______________ ---------------Sq. Ft. <br />j/�J --------- Total <br />�{ ---- ----------Sq. Ft. <br />Remarks - - -- <br />r <br />-- <br />j �--�` --- <br />, <br />Order Received - ---------------------------- ------- j�------ <br />---- <br />Work Completed------------------------- --Fox m:� <br />