Laserfiche WebLink
W.DPF MJ I. ?E?)ERE <br />J�,1���- TT --Water Dept. <br />// tq/ �.).......19�,T <br />Application No.c•`'-.L..•1- Date..... <br />r gall 12... ........inch Ater seryice pipe <br />For /.1/:.. � �l F u............6 c i,, rF--------------------- <br />................. '.t � / <br />07 7/.........!it........................ Street <br />On................... . <br />Lot ........... a7.t%...' -. _�.... <br />..................... Block No ........ . .............. ...... .. <br />Addition................................................................._. <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />..............._.................... y f.....---.I Servicvice <br />..........Pipe <br />b... <br />.�.l.' ........... .. ...................». <br />'.......tt .. J <br />..._.........». _...._ .......................... <br />No. Hours Labor ................... , <br />»»»...Sq:!I- <br />.................... Cut in .................. pavement ................ ..R......i_....... ....... ..........._. <br />X....._................ ...».._.._........... <br />........._...X....._. ., <br />................ <br />...... Total .......................Sq. Ft. <br />Remarks............................................................................................................ <br />OrderReceived .................................................... <br />C ork Completed-7—It ... <br />.-�.'_.�i./.................ai••� . .. . <br />Foreman <br />