Laserfiche WebLink
N.U.FormJ 1���6' � <br />5 I. Prie6e —^ . . <br />CITY��'a�UERET�'--Water Dep�-. <br />�o-i3-1-o <br />Applicatien No..� 6 S� Datc- -- ..--_*tii:Gt��_Y'.9.'� <br />Install.- --- inch �vater servic� pipe <br />For ---� - � ��-r-'�- -�•/- <br />' . -'--', <br />i <br />�n�(�/---�----- <br />Un_.____.y.3_�!_��._Y. ___� Strect <br />--- - <br />' ----------- <br />Lot---- - --�-�--------------- Block NoF...- -- -------------- <br />Addition- �-�--•-- - - ------------• -------�------------ - --- <br />R^marks --- --�--• ------ ---------------- <br />- ------- <br />i <br />------ --------- - -- �-�-� -- ----------- <br />G �_ `� -'--.. <br />-��--`--`./-''i(1�--_lLv� :C_.!__.._._ <br />--_No. �� Si:c__— <br />____ '_"""" .""'; ....__.. <br />_.'_.(_'___" _�rt-�f. 5-�.-. <br />- ---:'1-��/_tc _ 3�.r-'----.. <br />_� ------� -a��.� ----- <br />a <br />"l"" . - - _IC-t3ZLTl.�.. _. <br />- f -- �,✓., ___ <br />---•---------- ------- ---� <br />LAI30R AND �iATER1AL USF.D <br />� —_— —__"___. . _'_'___". _—___ __ — _'_ ._ . <br />Lead Connection Complcte <br />SadJle Cumplcte <br />__�: tr�_ /. c"'___'_"_" _Pipc <br />0-J`- - <br />Scn�icc Cuck <br />; <br />S�n•icc 11or1 �-cd' . <br />c� ; � r <br />="`'%-,,�:..:..L:._.�:�.���-- ` ; . <br />_ _ -- -- -- -- <br />hu.HoursLabor...'-'__-_.__.__.��_Coft._//'(' """""""""""_"" <br />Cut in."""""_Pavcmcnt"""'""'.X_"""""" _'_""_'__"__'Sq. F[. <br />(� I ""_'__""a__"'_'_""_ "'_'.""_'_" �� <br />YG.~j/pr """"__'_X _"___._""' ____'__"_ ., <br />"��'�L .� �' I _".______X___.___""" ..__-___ �� <br />i) � o. --- <br />� Total . _'_____"'Sq. Ft. <br />Remarks------------•�------- -------- ----------- ---- ------- <br />---- -- -- - -- ----- ----------------------- <br />Ordcr Rcceived -- ----- --- -------•----- -------------------- <br />JVork Con,plcccd-�---------- •---------------------------- <br />For�•mon <br />