Laserfiche WebLink
W.1�.Form 7 1 -- � <br /> S.I.Prirba � <br /> �� , CITY 37� RE G ,� <br /> .��:. � , . ��P� Fs,_,, �' -Water Dept. <br /> -�f:-�--,��K,.j <br /> APPlica[io't}"�]o..---- ���c�p <br /> "----- D�� 7"_ , , - / <br /> ----------=---- <br /> Install.-----=-- �-----19��-E� <br /> For ___ <br /> . -----•inch watcr scrvicc piF•e <br /> -- ---- ------- <br /> --•---• - ---- <br /> On---------• --------- • <br /> -------- <br /> _.--------•---•�•-----•- <br /> Lo[---------- -- ----'-- -.,---••- --- Screct <br /> ----••--•- Block No.._ ._._�.. ---- . <br /> ---- --- <br /> Addicion ._.. l -.------ <br /> ----- •---------------• - <br /> Remarks ._. �""""'• <br /> ---- . - ..---- -- y;c.�v���.��„im��-- <br /> - ' LAI D�ERIA p � � � . <br /> �'�� g__=_c__ - -_ .--- -` <br /> """"""- """""' Lead Q�rmection Camplete --��-���'-- <br /> � ""'-----�---- Saddle Coriplete <br /> -"'-"•--"'fc .'-"."-'--.__ <br /> --'•" <br /> -""."-"-' --"-'--P'�c <br /> -...."""""' ' """ Service Cocl ""'""' <br /> '__"'•.""-_ <br /> '--"-"'-""' S<rvice Oox <br /> """_"""•'I�-"_""""_ """ ""'_"__"_ ""'•"_"'_' """""'•"""""___ <br /> __" _" <br /> """_•"_"_""""""""""'-- <br /> No. Houn Labor.---------- <br /> Cuc in""_.' """"'Cost.' <br /> '_""""_ <br /> '."_Pavemcnt_"_'_"_"'X.' _"""""""""'_" <br /> "'.__"•"' ._"..""""'Sq. Ft. <br /> -'---'-•--"a.'-'.--'-"'- <br /> .."-.-""-'-- .� <br /> ---""""-X --.....'•"-' <br /> ----'-'•„'-'- .. <br /> � --"-----"•X-'--'.--"•'-- <br /> -"'--�-- _ ,� <br /> --'-- Total —� <br /> �—� _�---�--Sq_Ft. <br /> Remarks___._ — <br /> Order Rcceived ----------•-— '--•—' ---- --------------------- / <br /> Wotk Comple[cd"--"' '-"'-""-'-" - � <br /> ------ � <br /> •----- <br /> ------ <br /> -------f6:.�.� <br />