Laserfiche WebLink
S }.'rieba!ib].4629y5�/ / �1 � �. <br /> W.V Form l V i'� �� d ' <br /> CITY C�F EV�RE'TT--Wat�r Dept. <br /> ) - :� / . <br /> Application DIo..�...(._',.�z.. Da . ..........Y!...f.....:�..�.............19.`�-- ; <br /> Install.........._� t.�..3_:�.......inch water sen�ice pipe <br /> For ....................... .................................. ......................................................... <br /> On .......,.%.1..�._'_�....:4�:.'...:�_.�...'f..:......:..1..�.—�.............._-- Street <br /> Lot............................!.1..........................._.. Block No.........=l...v...1............. <br /> Additioii ...........� ............................................................................................ <br /> "'� , r ' '.'...:' ' <br /> T_iemarks ...._,.:_>..:...._:.........:... ....:•:._.--�,.-..................----......---.............. <br /> ............................................................................................................................ <br /> . ................--........._,_.......... _...... --......... ........._ , . <br /> r�;,.:�� ,- : �, ,, . , :---�-.. ...... !, <br /> � �. .� � , . ly ✓ . � . ,, � r , F,: <br /> :......._......._ lY � :..�.............� <br /> ....:... . .... ..:_ <br /> F � + ,... ; , :� / � � , <br /> �ers!....J:..��.t�<<.::�-.,.u...../�.....=5^..:��.:....__.. .....�....�t .....�....L.......: ._. <br /> � ' Suparintendent <br /> � : t ' <br /> LAaBOR AND MATEBIAL II9ED <br /> No. I Size � _ <br /> -- —I _ <br /> .......................................................I Lcad Connection Complete <br /> ...._............................................._.� Saddlr. Complete <br /> L..-2:.....ft...........� � .....�:^r.'ai4�.�:� Pipe <br /> ......... �............ 4 ................................... <br /> ............I..................._.......✓.�-._.. Service odk <br /> ...._............................................._ Scrvi.^c Box �- <br /> � „ . <br /> ..:._.�......................_�.3-..........._.. ._L.C...�.'..�:�:�:r:...........n..............................._............................. <br /> � <br /> „ „ �. ,�._ . <br /> � .......i..._........ �.r.Cm�.:F?�:f.L,!....(n.......! � /� � � <br /> ........................... ......................... .................. . <br /> No. Huurs Labor........_.._.............__.:......y...CosY./.��:1.1.................................... <br /> � <br /> Cul in....._......_.__Pavement........._a?_`....X..�:��..�............ <br /> ........................Sq.Ft. <br /> �.,Y�. ...._..............X..............._....... ........................ �� <br /> � „ <br /> , . <br /> ;� � � N9 :::::: ...X..............::�:::: ....^............._ „ <br /> ; ::............ ........._............. <br /> � Tc!a] ................G....Sq.FL. <br /> ----------- --—�--- <br /> Rer,lat9:�..._..._......_........................................_......._.........._................_............ <br /> _......__ .... ............._._ ......_ --......................_....... ..........._....._......---...----- <br /> _........... ............_._............._................................_.. ............................._........... ; <br /> Order ]ieceieed........................_......................._................................._.......... <br /> ��ork (.om ,�ted... '�' - ' , �� , <br /> --- , , �. : '- , <br /> p � _.:.........: .. ;..... <br /> ...... <br /> ... . _....�-�....:. . ...... <br /> � Foti�ma:�. <br />