Laserfiche WebLink
/ <br />/:Jf� s-9 ev <br />CITY OF EVE*RB*--Water Dept. <br />1w.!'.-'Lj.6 Date ............. ..................... 9- <br />Application NoJInsta.1 ................ */r,,*.,.,,.inch }eater service pipe <br />r <br />...... ............. ......... <br />..... <br />...... ... / <br />Oil........... .... . ! ....... ......................... Street <br />Lot.............................................................. Block No........_..._._......_........... <br />Addition.................................... '1?----**-".,A—... I ..................... <br />Remarks.......................... ..... 4--.- - ----- Z�X-�, .................. <br />........ <br />....................... ................... ............................................... Superintendent <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />... ......... ............... Pipe <br />Service Cock <br />Service Box <br />No. Ifours Labor .............................................. cost .......................... . ................. .... <br />CutIn.... ....... Pavement ............. —X ........................ ........... . ........... Sq. Ft. <br />................ - <br />................. X ............. .......... ........................ <br />.................... X- ..... ...... .. ... . ............. <br />Total ........................ Sq. Ft. <br />Remarks..... .... ....... ........................................ .. .... .... .. <br />. .................................... .......... .. .................... <br />........... ............ ... -1- .......... .............. ***"** .. ... <br />Order Reccived__............................................... <br />Work Completed. ......................................Foremen <br />