Laserfiche WebLink
i <br /> _ ,.____ _, _ __ -_.�.. <br /> .. F <br /> ; <br /> s � Na�b.aM`:�CIT� VP� � .,� . ` <br /> 14.C�Porma � „ ' - <br /> . E�'ERETI�--Water Dept. , <br /> - ,� ; , - , . <br /> . , ! �i' <br /> Applica;ion ATo....�:'...a..... Date.::...�.:..:?� � : ..../_:�......19�. / <br /> . <br /> _ a '! ,� <br /> lnstall..;..^�.7............_...:inch water service pipe <br /> y� � ' � <br /> Fo- � � �=� <br /> � � .. . , ,- � <br /> . ........................................,,._:......................................:..Y....................... <br /> Un ........................................t�:.......................................................... Street <br /> Lot.............................................................. Block No................-----... . <br /> .--•----- <br /> Addition ................ ..................................................................................... <br /> �a " ""' Itemarks <br /> , ;r+. ................ ...................... ........ ................... <br /> ,:: �.:w...�:.� � ........."""'................. <br /> :. ._:s,. ....................._'........................._..............._.......... ..........................-'--..."""'_"'•- <br /> .................................................................................................................."......_... <br /> _................................. .............::....................................a.....:......"-".._....'-'-'..... • <br /> / :;, <br /> .........._ ....................................... .....r.............:...... .....t....:....r ' <br /> . . .......................... <br /> '.� �$uperintenden! <br /> _ -- �; i . . . , i '�� <br /> LABOtR AND MATER[AL U3ED — ,=� <br /> No. i S�ze <br /> -- — --- <br /> ........_.................................:..........�� Lcad Connection Complete <br /> ...................................._........._.....I S�ddlc Comp]cle <br /> ......_...............ft...............::...........i .........:......:................._....................................PiPc <br /> .............._...................................... Servicc Cock <br /> ................................................._... Scrvice Sox � <br /> NaHou�s Labor..............._....._._.............._._Cosl.._................................................ <br /> CulEn........._...._._PaccmenL_......._......_X_...................... ..__..................Sq.Ft. <br /> ....................X........................ �� . . <br /> ........................ <br /> ...................�........................ ........................ �, <br /> ....................X....................... �� <br /> ........................ <br /> Ti 'al ........................Sq.Ft. <br /> — ------- ._. — --- — <br /> Ren;arks............._..............................._..._......................_-............................. <br /> _.._......G':.�-.:....�:�C.�.�•.................. <br /> ........_...................................... <br /> ,.s:,�„ ,S o F .t� <br /> ....... .. .................................................................................................... <br /> OrdcrP,cceieed................................._........................................................... <br /> �;'ork Ccmpi.�ted..5t.i:a../:�;'........._............._......._.................................. <br /> i � <br /> Fareman <br /> +c_ . ' <br />