Laserfiche WebLink
r `\ <br />W. D. ragl aa�/ <br />CITY OF EVERM--rWater Dept. <br />Application No..11--, 1.r',Y... Date ........... d:,_/........................1BG.: <br />�� 7n te1L .».. .............. inch water service pipr <br />For ............fttl...A.... <br />.............................................. <br />On............. .`�..��:.'.1...... =......... ...................._.........0......... Street <br />Lot................... _.......... _.......... ............. . Block No ......... ......... 0........ ....... <br />Addition <br />Remarks .......................... <br />Superintendent <br />LABOR AND MATERIAL USED <br />No. Size I <br />Lead Connection Complete <br />Saddle Complete <br />.......... . ... I .................... .... .............................. Pipe <br />Service Cock <br />Service Box <br />No. Hours Labor............ ...................... .......... Cort.._.._.......... ...... _.._................ <br />C'tt 11) .................... Pavement ........... .... ... X .................. ... .... .............. .... Sq. 1Y. <br />................... X........ ...... ...... D <br />........ I .......... X.. ............... _... .. <br />........................ <br />....... _......... X... _.................. .. <br />Total ........................Sq. Ft. <br />Remarks............................................................ .............. _.... - <br />Order Received ................................. <br />Work Completed .............................. <br />