Laserfiche WebLink
/ �.8 �•� � `=`s� - ., <br />I'I'--VG'ater Dept. <br />A �licatimi No.,_,._—�" Date...._........... '..: � <br />,_- <br />fi�� =- '' - 19...... <br />................ <br />Pl <br />Ins;all..........:_ .............._ipch water service pipe <br />, . <br />, � ... <br />For' : � v.;.::.:.. � ! :f...�:.:.:.' :..:............-............ ....:......._........:................. . . . .. <br />' ' <br />,, r.�`...i7....:::....! ..:..:..........._r.r.:.:...._.............................. Streel <br />On.........._.. .. <br />Lot.............................................................. IIlock No.................................... <br />Addition.............................................................._....................................... <br />Remarks ..............._. <br />� <br />... ....... ............ <br />- ,•- <br />................................................. <br />............. <br />...... <br />� , .............. <br />� <br />�� ............................................................................ <br />...�.._.. ... <br />.......................................................................................... <br />-^ -7 -� -- <br />.................................................................. <br />-� 1--� ..-� ................... <br />""'"""'�� Superivtendent <br />............... .. <br />� <br />i 1� <br />LABOR AND MATERIA�. PBEU <br />I :.rad Connection Cumplete <br />I gaddlc Cmnplcic <br />...I .................................... <br />. I Scrvicc Cock <br />, Scr:icc Bux <br />.....I ................................................. <br />� <br />... _ _ .............. _. <br />........_. y-- <br />....CosL.. _ ............. ...................... .......... <br />No. Hours L�bur ......................................... ' <br />............... ........sn. Ft. <br />Cul in........_....._...Favrmcnt ....................X__................._ �. <br />....................X........................ ......._............... <br />� ....................... ........................ <br />„ <br />........... <br />. <br />. ._....... ,� <br />....................}......... ............... .............. <br />Total ..._..........._ ._.59. Fl. <br />� ----_--------�— <br />_,�'�_�---'- — — ........ .... <br />Remarks.._ .......................:............._.�..:.5.. -- . <br />..... _.. _ _...... _..... <br />_.. ._ ( t �:-t �.... � -f � �J <br />J�. , �.�.........._.....- ........................._. ......_........_........... <br />�.:%�� f .-�.r.•. �.-......(�..-�.<.�.�K...._ ............:.................................................,/ <br />Ordcr ?�ecciced ...................._......... <br />.......................................... _................. � / <br />\1%ork. Completed ....................._........................_..._........._.......Forem�m... <br />