Laserfiche WebLink
. � <br /> w. o. rnr�Q , �'r��� �.' � . , <br /> - ' `CITY OF EVERE 1-1'--V�Iater Dept. <br /> Application No.,C...::.:.. _.c. :.L Date.... .....::........::. .... . ... ... . <br /> . . ... . . . 19...;:: ' - <br /> ,.-. Install....... .._........__...... .inch water service pipe <br /> . . � ' - <br /> _.:..:....�..-�.-:.��. <br /> oi � ,��� � , � <br /> ; �, ......:.....:.............. . ..:::.............. <br /> •, ..,.. <br /> � .. . .� . � r....,.�.......... <br /> On ...................b..:;::..:..:...:.........,C.l:�:�:�„��/. <br /> . i..::....<......:,:.:�:..Street <br /> Lot.............................................................. Block No......... .........................-- <br /> .9dciition ............................. . <br /> .................. ..........._.................... <br /> . ......_......._..... <br /> Remarks ......................................i...!. . _ .. <br /> :..:..:.::......::.�..:::.::... <br /> ....................__......._ . ._......._..............-----.. <br /> ...................................................................... <br /> ............................. <br /> ........................ <br /> Supetinte�dent <br /> 1-`BOR AND MATERIAL USED <br /> No.� Size I <br /> ��-'���� ��'"""""" � :.ead Cnnnection Complete <br /> ................................ <br /> ......................._.............................� Saddle Comulete <br /> .......................ft............................1 - <br /> ..__._....................................._. .._. _....__....Pipe <br /> .................... ................................I Scrvice Coc}: <br /> ......................................_..............I Ser��ice Box <br /> ....�.�..�.�........._ ........................I ............_.................................._............................................................... <br /> __� ...................__........... <br /> ........................................... <br /> No. Hours L�bor.........._.................. <br /> ................Cost.................................................... <br /> Cut in.._..._........._F avemcnt <br /> ' _... ..............X........................ ..................._...Sq.Ft. <br /> ....................X........................ <br /> ........................ �, <br /> .......__.........X.................._.... <br /> ........................ �� <br /> ....................X........................ <br /> ....._........... „ <br /> _---_- Total .......Sq.Ft. <br /> _----- ................. <br /> - --- - <br /> Pemark; ____ <br /> .................................................... <br /> ...................... . ........................................ <br /> ; <br /> ................ .... ..............................................................................................� <br /> Order Received ..............._..... .._.._._._._.__ ! <br /> ............................................ <br /> 1�orl. Completal.___.-_- <br /> _........._.... <br /> ..................._... <br /> _._........__.. .. .._........ <br /> F'areman <br /> I <br />�—_ � � _._- . . . _. . _ ' .. . ---- -� - . . <br />