Laserfiche WebLink
�J.PricLenDf 19 — . <br /> W.D.Form <br /> . C�Y O�VER ETT--Water Dept. <br /> � � <br /> Application No.,�(i:'�C�- llate....!:�.:._'.:.�:.-:.�.. _ ........1�:._� <br /> , ._... <br /> Install....�_..�:._�.. ' <br /> ................inc11 water servir�p;pe <br /> ror ......................... ..........._.......... .,...- .._._............_. <br /> , ._ ...................... ..... <br /> , , <br /> .. . .. <br /> On .........�::.'........`:: ! � ::.,.;. 1 ..: t ........----........ Street <br /> .� ....----�::...........:�................,. <br /> Lot............ �� .........5�.......................... Block No......��:�rj..----•---�- <br /> Addition _............... --�.-.�->,............-- , <br /> � ................................ ...................-- <br /> Remarlcs .._........_.....�....:..._::;..:..'_':._�...: <br /> ......:.ti...................-----............-- <br /> ................................. .................................................................................�--.. <br /> -- •.._`.. , .�.i. <br /> 1 .... ._......................---.............................----....................-------- <br /> ..�. , .j,� <br /> ;...t._:....:... . , ��_ <br /> . .. . ..... <br /> .....��._....,.. .. <br /> �.. .' ..... ��. .. . . . ��}./.� �./-� ,�.., n <br /> .................... ....'--......... <br /> ,�. -'--_""•__..........." <br /> . .......... ............'-......_-. .'-�...,: <br /> ! ��� .......... ................._'...........'-'•" <br /> j �� Superintendent <br /> _ //! <br /> LA1302 AND nIATERIAL USED <br /> No. i Size . --- <br /> --- <br /> ..................................................._.� Leaci Connection Complete <br /> .......................................... s,aai� co�ro��c� <br /> ...........:...........fk...........:.:'... ...... ..........__.......:._................................__............Pipe <br /> ....................... .................... Servicc Cock <br /> ............................................._....... Service Box <br /> No. Hours L�bor......................... ....................Cosl................. <br /> ................................... <br /> Cutin....................Pavement....................X........................ ........................Sq.Ft. <br /> � , :, �� <br /> . , .., .................._X........................ <br /> . ........--......_..... <br /> '� ..i:. ; . r,�. . <br /> � �� : ..............._...X--.................. .. <br /> / ........................ �� <br /> 4Y. �/� . � .._ . <br /> .� . � ........_..........X ......_.............. u <br /> � � a Total <br /> - ..................__..Sq.Ft. <br /> ----- _— <br /> j - -- <br /> Remarks............_:: �-. . ...:':...:.........::..................... -....._ <br /> _.__......_................................................._.......................................................--- <br /> .....- ..........._........... . ............................ ................•-.........._........................ <br /> O!•der Peceived............._................._............._........... ........._................... <br /> \�'orlc ^ompleted--... - .........................__.::.............:. .. -,` � <br /> ..._.........._. <br /> Foreman '�- <br />