Laserfiche WebLink
� - <br /> . ` J�, � � t � 3�� ��_ <br /> w. o. roAra i � <br /> � "CIT A' OF F.V�FZEIT--Water Dept. <br /> ; ,; i ;`l <br /> Application No.._\.)T?t��-.. D�te:.......�.._-:�..._................_....19.�c'l <br /> Install..........................__ .inch water service pipe <br /> `�..•���->....._�.>_ ..�� ..:��..y Fx:�............................ ....._..... <br /> For ........... � <br /> On .........:�i.�:�..._)...r._.`....�-...1`�_�.�.:.C:.�1:s�._..�.1...\.�.:.., Street`I <br /> � � <br /> Lot_.._._......_ ........--........_...................... Block No........_.............. ---....... <br /> �rlditioi� ....._......._.........._.._._ _..............._..............................................._.. <br /> Remarks ....__...........�.11Y\E.-�C.v...��:�_:?�a...................................... <br /> __.................................................. ......_..............._..........._........................... <br /> _._. . ....._..__.._._........_.--...........................__..._._...................... - --..--..... <br /> ........................................ ......................................_..._.....__._.................... <br /> ......................__...........__. .................� .......... --- ..............._.................. <br /> Superintendrnt <br /> � LABt)li AND 117ATF.RIA1, i`SEB <br /> — _ -- _— <br /> No. 3ize I <br /> ----- <br /> — -- -- — <br /> —�Lead Connectio.i Complete <br /> ._......._................................._......I <br /> ..........................._......................... Sad:L'c CnmPlate <br /> .............._.......f;...._....._........_......� ......................................................_......_......_Fipc <br /> ...._.................................�......_..._ Setvice Co^h <br /> ................._.................................. Se;vice Box <br /> No. Hou:s Labnt..._.. <br /> ........_.............................Co st...-�-----......................................... <br /> Cutin.....___.....__Pavemm�t...................X.._._...........___ .._....................59.Ft. <br /> ....................X........................ „ <br /> ......._............... <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �, <br /> ........................ <br /> Tola] ........_..............59.Ft. <br /> _—._—_____' <br /> Remarl:s....... � ....................................................................................... <br /> r..y�, . <br /> __...._. _.....:.3/=�..,..C-:•::r?.. .'°''...'..................................._..............._........ <br /> l ` � ..� ";' <br /> ..%......:::.l..��..-�� .,.....:1......._............................................._...... <br /> OrderBeceiced...............................__.........................................................._ I <br /> \Vork Comple[ed........_....................._............................................_....._.__ <br /> Faremm, <br /> � <br /> � � <br />