Laserfiche WebLink
.� <br /> � i� �! � � <br /> w. o. ronw��� \Y � V . <br /> � -CI i Y OF �V N.R�'lfi--`�later L�ept. <br /> Applicat;o:� No..L��."'..l�::..�.. Date................:.'....:...'.....................19...:� ;, <br /> - lnstall.�:..........................inch a-ater service pipe <br /> /'s C � <br /> ]'�r - � • . •� - <br /> ...._f�..........,�...............r....._.�...............,..._:. .........._......... .......----............ <br /> On ...................z:.::....'..........:..::._..�.., .:_ _.............. Street <br /> ... <br /> Lot .................... ..................................... Block No..................................... <br /> �ddition ......._............................. --........._............_..... <br /> // -.......................... <br /> Remarks ............_.......... ......._(..1..:,...._.:..:.::.._'.....�._.: <br /> � .._....................... <br /> ........ .... ........... ............................................................... <br /> _..._.........._.....--......................................._.............._ _................................. <br /> ..................................................................................................... ............ . <br /> ........................................................................................................ - --- <br /> Superintendent <br /> LAAOR AND MATERI.A7, IISED <br /> No. i Sizc I <br /> _—_—_—. —_—. <br /> .....................................__...._.......I Lead Connection Complete � <br /> ..._.............._.................................' S�ddle Complete <br /> ....................._f t............................I ......_..._............................................__...........Pi p e <br /> ._.........................._......_..............' Scrvice Cock <br /> .._.........................._...................... Scrvice Box <br /> No. Hours L�bor..............................................Cost............._.........................._........ <br /> Cut in_.............._.FavemenL.___............X...._.................. ........................Sq.Ft. <br /> • �� <br /> ..................... ........................ ...................... <br /> _..__............X....................._ �� <br /> ........................ <br /> .................X.._. ................_ �� <br /> ....................... <br /> Tot il ................. Sq.Ft. <br /> — =T----------- ----_ '— . --. <br /> P.emarks..... .._...........__....................................................................... . <br /> _........._...___......_................._..............................................._..............._ . <br /> ...................................................................................................................... <br /> OrderRecciced......................... ... __..............._....................._ ................ <br /> \vork Completed..._.. ._........_... .. .... �� <br /> _. _..._._._. . ..__ _.... ....._. <br /> Fureman /'� <br /> i <br /> . �� <br />