Laserfiche WebLink
S. ). Prich. Vry J �7 <br />CITY OF FVERFTT--Water. ept. <br />� �� � 11 ✓✓%� <br />Application No_ (Dare.._.- <br />I stall ------ #---- _._--- inch water service pipe <br />For ---- / , / ----------------- — <br />On Street <br />r <br />Lot ............ . ....------- Block No._.__t -......-_--- <br />Addition -------- <br />Remarks_......::�- <br />-! <br />LABOR AND ALATERIAL USED <br />Na. Size <br />_________ ______ -------------- Lead Connection Complete <br />.............................. Saddle Complete <br />(� + --------------- <br />_L_�_.... It. ___._____ Pipe <br />............... ............... Service <br />_-- - -... Service Box _ v <br />j_.... <br />...__.f_......___f _.__ C/< fi�i-r t' .�_ _'1_v!!1t___________ ______ _______ <br />t Ld { f/ <br />............... I --------------- I ------- ---------- •---------------- .--...----------------------- <br />/r{ <br />No. Hours Libor .______.__-_--__._. G'. cost_fj ............................... <br />Cut in ------------ Pavement ............ X.............. _______________Sq- Fa <br />X...•._._..._._ �. <br />------------X----------------- ., <br />�� I /• Total ........._.... Sq. Ft. <br />Remarks--------------------------------•-.-------------- — ---- <br />..----•-----------------------------•-----......--_...--------- <br />----------------•------•--------•-----•--------•----------- <br />Order Received ------------------------------------------------- <br />Work Completed --------------------------------------- an---- <br />Perem <br />