Laserfiche WebLink
w. o, roW <br />f �e./r � / l . ! . ': `- �. , <br />.� - CITY OF EV�RE i T--Water D��pt. <br />. ,. <br />Application ivTo.%::.%.:.'r...:�./.. Date......_.........�5.,-...� ................19.�:'./ <br />„ ' _ .......................:: .inch water service pipe <br />- n::= <br />.... <br />i � - , <br />„ „ <br />For.......G......._._r.._......1. :�::'::.:.:,� .......:............-. <br />� / ....... "> . ........._._............ <br />On .._.....:..11.. ��...... L:.C.. � ,' r, . <br />' ,i <br />............ � � ..... . �..... �...�:......_:..: ;_:..�:........ Street <br />Lot...................................................... Block No........... ....................... <br />� �lclition .............. ......................." ....................... ...................................... <br />Remarks................................... --�- - - -- - <br />; � _. <br />............................................ ...... ...................................... . <br />No. Sizc <br />---- i — <br />--..._ ...... ............I.................. <br />........................... .................. <br />....................... f t. .................. <br />Superintendent <br />LABOR .�1ND 1VfATEfCIAL T7SED <br />Lead Connection Complete <br />Saddle Complete <br />.................................................... <br />Scrvice Cod: <br />Sercice Box <br />Pipe <br />............................................................... _ . ........................ _.................... <br />......... ...................................................................................................... <br />....._ ..................._......................................................--- -----.._.. <br />No. Hours Labor........._ ............................_-...Cost................................................... <br />Cutin ....................Fav;: i^nt....................X........................ ........................Sq. Ft. <br />....................X........................ „ <br />........................ <br />....._....._ _...X ........................ ,� <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />..------ - -- -- <br />--._ __._ --- - - <br />- -- <br />Pe�narks ............................................... ................................... <br />....................... . <br />................................................ ........ .. <br />. ..................... <br />.............................................................................................. <br />Order�?eceice�l ......................................................._..................�:........._.... <br />��'orY. Com��;cted........_...........__._.__ ................ <br />_ .. ..__.... ._.. .. <br />Fweman <br />