Laserfiche WebLink
7 - .-�' � <br /> S 1.�icbe�M7.16 95S/ 2O . , <br /> W.U.Ponn) • . • <br /> C:ITY OF FVEREIT--Water Dept. <br /> - ; ,- <br /> /i � .,, , . . <br /> Application No..........:........ ...._ D e.-._--...__::..i_..:::----!..�.....19... .. <br /> Insta ..��...........::.........inch wa+=r service pipe <br /> For " ' <br /> On ....._'. � l....^.::1..-•/-...._................ ............................... <br /> ._. <br /> , , . <br /> �:.:.....:.:..:.:..............__ ....:_......:......;/ <br /> ........_f..::....:..... ........_ ' I•••.---•-'-�-------::.:.-.=-- Street <br /> Lot............................................................ Block No.. ...........--�--...............--- <br /> Addilion ._. ......_. ':.1........._............. . <br /> . . ..._......_.......................�------.............. <br /> Remarks c,--=,., , -. , ' • . . <br /> .� <br /> .............:. • , ,. . , . . , . . <br /> ..........�.....,....._t....:..�..........._....................�....,.............. <br /> !- <br /> � <br /> ................................................................................... .........::............................. <br /> � � <br /> , , . , � . <br /> , . <br /> .......�...........:...................................................................................�----......... <br /> _............. .._�..................................--...-------........-- ......._. .....-----... <br /> �' , l.. : . ........................................ ..:.:� .!....,..� ........ <br /> �. �, i , •. . <br /> ....._::....�:: . .. ..... .... . . <br /> �, ° ���:� r; � t' . Superi�.ndent'� <br /> _1- I :�' . A ui " — <br /> 1� .- �+ = x R AND MATERIAL IISED . <br /> No. i e <br /> —-- <br /> ......................................................� Lcad Connection Complete <br /> .....................................................� Saddlc Complete <br /> .......................ft._.........................� .................._....................................................Pipe <br /> ...................................................... Service Cock <br /> ...................................................... Service Box <br /> No. Fiours Labor..............................................Cost.................................................... <br /> Cutin._.................Pavemcnt._................X........................ .......................Sq.Ft. <br /> ....................X........................ �� <br /> • ........................ <br /> ....................X........................ �� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> -— _ <br /> Total ..-__................Sa.Ft. <br /> � � , �` ' n � .__ <br /> Remarl:s../f.......... . r..... <br /> ............................................................ <br /> _._......._...._�...... _.....�...'.�. _�........................................_............................ <br /> Urder Pecei��ed................................................. ... .. . <br /> .. _ ,� � � j.,..�..ia. (, <br /> ... ........... <br /> .... <br /> �rnr6 Completcd.:,......�_�..'..�.4..`........1:��...... . .�...... <br /> � ��:.r.. .. <br /> I'oreman <br />