Laserfiche WebLink
L J. MI[P1� ��� � � � ���1 'C� � <br /> W. O. IONM <br /> � � , r Dept. <br /> / �� <br /> l �� ' ......._ /- `� -. , <br /> J � .�� <br /> Application No........:......1.:..—.`.._ Date...:.:.....:...:: a e:..............�..19._.... <br /> Install.:::1.�� " . inch,water service pipe <br /> Fy <br /> � r.................. I <br /> �./ -� •. � ' ...�_� Ti� .. , . <br /> For .._......!r...:.........:.... ' ...:..:.:.-..�...::.c.:::..!_...............................---.. <br /> �r' r� t�.....�:��:.:•J:�:._.1.._,a....:..:L ......................... Street <br /> On . ..._:�:................. ..... <br /> Lot...............�................................._..... Block No...............................-�---- <br /> Addition ................................................................................�--....................... <br /> Remarks ............................................................ ........................................... <br /> �, <br /> � <br /> ,�l; : � ��- ��� . <br /> ........_................................................`:.�:...:....u....---...................................-----• <br /> / <br /> n '� ' <br /> � , � ........................................................................................................ <br /> ...-�-- ---.. <br /> y...........:.. ....,..l... :..... ... ,_ . <br /> ' . � ; :,__ � 1 'f � .: . ' <br /> . .. ........... <br /> ,. . ..�. ..........................T��i+<-.�::................................�.....................4:'�"""' <br /> SupErintendent�� <br /> kG I �1� �';�, <br /> � "' �Y' LABOR�AND MATERIAL IISED <br /> � No. - Size _ <br /> --- - <br /> ........... ....................................... Lead Connection Complete <br /> ..................................................... Saddle Complete <br /> ............._,�....ft.......!f C.t............. ......................................._............................_.Pipe <br /> .......................i�........j/{.:........... Setvicc Cadt <br /> ........................l............................ Servicc Boz <br /> ...................................................... ................................................................................................................ <br /> ...._......_......... .......................I ..............._....._...._........._...... ..............._...�..__...._..........._._._...._..._-. <br /> No. Hours ' �bor..............................................Cost................................................... <br /> Cutin....................Pavement...................X........................ ........................Sq.Ft. <br /> % � X........................ . �� <br /> . ,� � , �.: ; 1 ..............._... <br /> ......_............... <br /> � � :-, ;c � ....................X........................ ........................ �� <br /> ....................X................. �, <br /> ....... ........................ <br /> — ----,�_ <br /> Total ........................Sq.Ft. <br /> Remarks........................._`.�...`�/1�,......--.�.�................................... <br /> ... .......................................�J..�!�5.4....c�'.i.:�..<:a-P....w.................................. <br /> ...........................................�.c'AY\f.l..::................................................._........... <br /> OrderRecei��ed......................................................................... .................. <br /> \Vork Completed.ri.�.-./..'.5..`1....................�s�::l:C?'�d'n........:......... . <br /> Foreman <br />