Laserfiche WebLink
W. D. F rm a 6- �0 4% <br />�• J. Priebe <br />CIT VERETt-Water, Dept. <br />Application No.. --.-- -. Date... ..... <br />.. - . _ . - - - inch water sen ice pipe <br />Forll. ------------ ------ ----------- <br />---=-----_c.---- ---------- ...-Street <br />Lot-- — --- -- -- Block No--------------- — ----- <br />Addition -- — ----- ---- . ------ <br />Remarks ------------------- ----- •----- — <br />__ <br />--- _�__-- ._--- <br />I . _ .( _ <br />1 � � Jnp<rinteaJent <br />LABOR AND MATERIAL. USED <br />No. Size <br />- Lead Connection Complete <br />.............................. Saddle Complete <br />_-___-y ei ______-Q�: --.-_�ys� �4�! �_-:____.----- Pipe <br />.__.._ Service Code/ r <br />. Service Boa <br />�._..._.__._��.._ .......... <br />j_.. <br />No. Hours Lnbor------------------- cost_ - '--------•-------------- <br />Cut in ..... _ Pavement ------------ X-------------- --------- .----- Sq. Ft. <br />�� - --x._=--- ------ ;; <br />i� •-......--x------ ------ <br />. <br />ITo:nl ............._.Sq. Ft. <br />Remarks.. _ _ „_`_ __R�-_ <br />------------------ -------------- <br />Order Received.------------------------ _ - --------------------- <br />Work Completed ----------------------- ---------------- Forem--an --- <br />