Laserfiche WebLink
/7�.�/ �' <br /> w. o, rouq a <br /> ,cct. No._."l'...�-C7(J.7...... <br /> ' ' CITY OF fVER�TT—Watcr Dept. <br /> ' � �..........1s...._... <br /> F-pPlication No.� ./..�.,��......_ Date.....1./J�Uv....�.L._�_'. <br /> Install................................ inch water serv'�c pipc <br /> Owner..................................... ................... ................�. �............ <br /> �y ....................-....... <br /> Address......�/_.li.�,f.�.............�CL.:L�.[Y-C/......:I..�......_..........._--................ <br /> Lot.--�..........................................................Block No.................---............................ <br /> Addition..................................................................... ................................................ <br /> Contractor..........._............................................................................---•�-----._.......--- <br /> Remarks................•---......................................---................ •---.................................... <br /> ..............1�..'1.1.��.-............_.........................................................................._.... ... <br /> ........-�............................................................................................................................. <br /> Amt......................................... Rec. No.........--��---..................-----........_..................... <br /> � ,��„� <br /> By...............................�--.....---....---......:......-:•--............... . <br /> Supermtendent <br /> /�� <br /> ......................................._._............................'--............................................................. <br /> .................."'-'............"'...............__.....................'-'-......................."-""-................. ..... <br /> .........'-'........................................................................................................................... <br /> ......................................."'•........................."-'-"-"-........................ .. ............................ <br /> .............. .....'-'............................................................."-................................................ <br /> ............................................................................................................. ......................... <br /> ....."-"'............................................................................................................................ <br /> .....................'-............................................................."'..................'-'........................... <br /> ShopRemarhs........................................................................................................... <br /> ...................................................... ..._.........................................---........................... <br /> ....................................................................� ............................................................. <br /> ........ ..................................................................................................................... <br /> ..................................................................................._.....----......................................... <br /> ....................................................................................................................................... <br /> ...................................................................................................................................... � <br /> / <br /> ....................................................................................................................................... �: <br /> ................................................ ........................... .................................... ...... ....... ! <br /> ( <br /> �1'ork Complcled............_......................................... .................................._..... <br /> I'oreman <br /> i <br /> { <br /> � <br />