Laserfiche WebLink
' R'.D.l�rm�0�'(' � ���"'Q. <br />�I'Tzl, 'VERE�T.,. <br />���E� Water Dept. _ ._ <br />Application No..---.....r ............. Datc.....r:.........;..........._;.....::........19.:::.i. <br />, � _ • <br />, � Install..._ .......:...:.:......_.mch wxtcr servicc pipc <br />,. : � � , <br />For --i`...:...!..::i. � ' <br />--.._ .........................................._...__.._.............. <br />, , . , ....................... <br />f...� <br />On .................. .. �--...,:...............:....._..._.......:...t..�...::..._._.........---.....Stnet <br />• . , <br />Lot ................'._�::................................. BI«k No............_:- <br />........................... <br />Addition ..._..._. ' <br />...................................................................................�•-�---�- .. <br />Remarks . ................. <br />_. r .r............._ .........................................�------------ <br />........ r ..... ......... <br />8uperlotendent <br />LABOR AND MATERtAL USED <br />............. Lcad Cunntttion Cumplctc <br />Z`..Z..... Saddlc Cumplete <br />., � �2�. <br />. .. .. . ... . . <br />� ..........................................Pipe <br />V.......... . <br />............. Sc�vicc oc <br />............. Snervicc Bax /J <br />�...... ..., l�.!�C!:��<..:i:�. ..........._1.�...:L .�f:...._�_ :.................................... <br />............ _c.... �u...e,..:.......��t�:�.�.ef.:..:��..... ....................................... <br />xo. xo�� U�� .................................._?�.co,�`�:.::................................ <br />.................. <br />Cut in ........................Pavemcnt....................X.........._. ........................Sq. Ft. <br />J 1_ ....................X...................._.... ........................ .. <br />. � <br />tr ...................x....._................... .. <br />i ........................ <br />7��1��/I� � � ...............T��x.......................... ,. <br />........................Sq. ft. <br />— � <br />.............................•-----.............. <br />OrdcrRecci�•cd ...............................................................:�."..�............. <br />.............. <br />\Vork Complctccl ................................................ <br />.............................................• - <br />Furcmnn <br />