Laserfiche WebLink
/l�o� '�� <br /> .c o. rosw a , J r/. /�-- <br /> . _ CITY OF E`,i E�ETI'--Water l7ept. <br /> ApplicationNo,..f�. .✓-�.!: z Pate......:��....!��..........................1A..``� <br /> Install........... ...................inch water service pipe <br /> ?or ..............................._.........__......._:�.......�,..............................Street <br /> On '� •� �� �crf��..�.:... *`r � <br /> ......:.:............................... ... .............................. <br /> Lot............................................................. Block No..................................... <br /> Addition .......................................................................................................... <br /> Remarks ........................................... ......................................_..................... <br /> ............................................ ...................................................................._... <br /> ........................................................................................................................_... <br /> ..................................................................................................................._... <br /> ........................................................................................................................ <br /> Superintendent <br /> LABOR AND MATERIAL UBED <br /> No. Size <br /> ... ...................................._......i I.rad ConnecNon Complete � <br /> ......................................................� Saddle Complete <br /> .......................ft.......................... ...............................__.._..............._..............Pipc � <br /> ..................................... ............. Scrvice Cock <br /> ..........................._..................__... Service Box �I <br /> No. Houre Lsbor..............................................Coel................................................... <br /> Culin....................Pavemenl...................X....................... ........................Sq.Ft. <br /> ....................X........................ �� <br /> ......._............... <br /> ...................X.... ................... �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Tolel .......................Sq.Fl. <br /> Remarks................................................................................ <br /> __ ...... ....................... ................._.................................................. <br /> ........................................................................................................................... <br /> OrderReceived......... .................. .................................................................. <br /> \Vork Completed.......................................................................................... <br /> Fareman/ <br />