Laserfiche WebLink
- � Ld -. <br />0.'. D. Form ] 1 8 'T � <br />5. J. {'rie6c �• <br />CIT �ERE1gT--Water Dept. <br />ApplicationNo.---------- Datc-----------•�---.---19---- <br />Install. _ _ _ _ . _ L _ _ . _ _ _ i nch �vatcr scrvice pipc <br />Fo:.------------ ---- ------------ -------------•--- <br />-- -- --- <br />.., . , r, 'i�,% . ' :•:'. ------- trcct <br />On.....----:• .-'--t'-"'-'= -- ------------- --- S <br />Lot.--- --"-4"-�----------- --- lilockNo..- -�-- -- ---�----- <br />Addition.-�-�--•---- — -�--------'---------•-----•------• ----- <br />Zemarks_----�-- — --- -- -------- -- ------------- -- ----•--- <br />------------•--�-- — -------- -------�---- -------•----- ----- <br />---�-------- ----------------•- -.._..-- -- — --�-------•- -- <br />- ----------'-------------- ------------ �-- - ---��------ — -- <br />-��---- — --�-'--- - — --- ----�-- -- - <br />- - - - � - - s�n����e�,t��� <br />LAi30R AND TtATCRI.`L US[D <br />__ <br />--�}— — — <br />� / Lcad Connc.tion Cumplctc <br />_' _'_""'_"'"" ""' _"' �'"_"' <br />__"_'_""""_"'"" /'"""__ Snddlc Cemplctc <br />.'"""'"�'"'ft __J.-''f�"7"'"s � ..`_"__'_'_""'_"""_""'_'_ '_" Pipe <br />_..__.._��..''_._"��'""' SenJceCocl. <br />� " Screicc Ljos <br />_"'___"'"' f _ "_.�._"_'"'_"_ <br />' '_'__'__"'"'"' """__ ""'".'__'_.'_"'_"'_'_'__"'_..__"'_'_.'__.._. _""_' <br />No. Houts Labar......'"_'""""""�_Cost""'_"'""'_""'"'".__..""'""""' <br />Cut in_ '"'"__"Pnvemci [."""_""'X"""_"""'"' _""_"""""Sy. rt. <br />�� <br />"'"_'"'_ 'X"""' _'_'_ ___"""'___"_' <br />_..."""'\ ""__""'_"" "" _"'___" .� <br />-____'_"a'"'"'_"_'""' .� <br />� � Totnl .-------"-'5q. Ft. <br />Rcmarks---•"-•-- -"'---------------- --'------•-"-' "-- <br />- --- -' — -----�-- ----- ----------- -----'------------------ - � <br />Orucr Reccivcd — '------------------•---• — --------------- — - <br />Work Complctcd------------ ----- --- --- -- -- _-- <br />--- i .. <br />