Laserfiche WebLink
u': q. ro nee 3 <br />3275 <br />CITY OFF EVERE`F?-Water Dept. <br />LH <br />Application No------------ Date------=•---=-•--------19--- <br />Install------- <br />:'. _ ... inch water service pipe <br />For--- ------ — ------------------------- <br />On-------------- -- -- -= --------- Street <br />Lot..-, --- -------_ ------ _ Block No.....:. <br />Addition <br />Remarks <br />- <br />-------- <br />LABOR AND MATERIAL USED <br />------------------------------ Lead Connection Complete <br />--------------- -------•---- Saddle Complete <br />ft 1.�.........��_. <br />...._ ...... -- - l«—A�i.!!`✓.............Pipe <br />............... ............... Service Cocl. <br />--------------- ------------ Service Box <br />L---•---- .... %= -• • e A �. e) - <br />{ <br />-- ----------------- --- <br />No. Hours Labor ------------------ _... Cost <br />_..____._ <br />(Cnut in._ .._...... Pavement- ......... ._X------- ____... .......... <br />__--- Sq. Ft. <br />JIV <br />`Y ............ X. .. <br />1', ----------. X----------------------------- <br />Total --------- _----- Sq. Ft. <br />Remarks - - - _ . _ _ - <br />-- -------- ---- ------------ <br />Order Received <br />Work Completed_._________•_-,___--_ <br />---•---- — ---------------- <br />Foreman <br />