Laserfiche WebLink
w. o. rnn� �il � � '/ <br />�ITY OF EVF.RF"1T--Water Dept. <br />;: . <br />Applicution No.%[:.:.:,<�:...... Date......._:::.:: :� ..::...:::............. 19:.._r, <br />Install ............._................inch water ser��ice pipe <br />/.� '` <br />For , . , _ <br />.... . .--....._......... _ ............................_._.............--.................. .. . . . <br />. ... <br />..� _ ......._ .............._.............. Street <br />On ....:..............-:�.::%.:............................ <br />, <br />I�ai.......8.`.�:..': S. -....�.�'.�-�.. i� V!':..:c�✓. Block No .................-........... ...... <br />Addition........._ ............................................................................................... <br />Remarks ........c.:-ct._--�. ,: � . i "- i�>.�i <br />....... .............. <br />...................... <br />..........................„ ............ <br />LABOR AND MATERIAL USED <br />Lcad Connection Complete <br />Saddlc Completc <br />Service Cock <br />Servicc Box <br />uuPerintendent <br />Pipe <br />i <br />No. Row�s T abor ..............................................Cost................................................... <br />Cutin ................._.Pavement....................X......_................. ........................Sq. Ft. <br />....................X........................ �� <br />. <br />........................ <br />................-... ........................ ........................ ,� <br />...................X........................ �� <br />........................ <br />Total ........................S9. Ft. <br />— _.------ ---- — <br />Re: n a r ks ............................................................................................................. <br />Order Iiecei�•=d .................. <br />�Vork Complcte3 ............... <br />.................... .............................. ............. ' <br />...._....._....._..........._....._...._....._... � <br />........................................................... <br />t <br />Foreman <br />