Laserfiche WebLink
$ J. PrieLe4N 7-46199Y� / 2 � b.�/ ~ ' • � <br />W. 0. Form J . � <br />GITY O� EVERE'I'T--Water �ep . <br />�� �... .��'�1�'�,ti:7� <br />� � D t�............_ .................. <br />Application No... . ...... . .��4_`•- <br />, r__,, �� ,.......inch wate service pipe <br />For ...........wc.�..�.,.-.-........_-...} �� . �.�hP ��eet <br />� . . .... <br />oa ................��...f�..t.h •:i. ��:f�,k%U- Y:: <br />.... ..: ..... . . <br />Lnt.............................................................. Block No.........._...-'-�---..............-- <br />Additi�n _........_ .... .............................. <br />. � <br />........ ................... <br />.. <br />�--y� �„�!'�'��''--"� ... ............. <br />P,emarlcs _-.........�..`-�-'vlh-�""""_�C <br />�.........-�.. �.�. <br />.......... .. <br />...............fd .. <br />. <br />' ri ....... <br />........._ ..................... ....�.._'"'"'""""'..._......... <br />....-�y ., �:� �� - <br />111ATERIAI� PSED <br />�— ----- —_—'--- <br />No. � , � Siz"c" ..' ._ --- -- <br />--'I j�� . ......' - <br />..... .; ... <br />, �'I Lcad Comicclion Completc <br />.......... � . � <br />, �.� � Saddlc Completc <br />..................I..... n....:............�1 <br />ft.l ..... :............... .. .......... ........................... . <br />............................ P i P e <br />.............. <br />.................. . ......................... <br />Servuc Cuc <br />Sereice Bos <br />......................... <br />.._ . .....................................................--- <br />_........__........ <br />.....� ... .... ......�_-_._-.---- <br />—�_" . .. ro5i ......................................... .......... <br />No. Iiours Labnr...__........_ ......................... ......._............._S9.Ft. <br />Cutin.........._.......Pav.•mznt.._.._......._._X..._ ................... ._..................... „ <br />.................... . <br />�� <br />................... Y........................ �� <br />X..... _ ............... ........................ <br />...._..........._ Cotal <br />' .......... .............Sn. Ft. <br />----_-�-------_-- �_—_ <br />---� ---� —_ _— � — <br />---" ' <br />_-_--"--.. . /_ - � . <br />_ � -� ..:..........:......._................................_............ <br />: ......... <br />Remarks_..: ...... ..._:, ... <br />_ .................... ........ -................... <br />_._....... <br />Order Receivect .............................. <br />.... .............................._----....... ___. <br />.. . ...........:.............. <br />........._.. <br />\'iorl. Completed......:_._ ....:................. .. Fu��man <br />,.� <br />