Laserfiche WebLink
����2 . ,���� <br />w. �..� �_ <br />CITY GF F�VER��I`I'--Water Dept. <br />Q �c�,l ' . 1 � .�( � j I':iS.: <br />-APPiic,rrorNo..�.L.�....�..� Date ................................................19...... <br />1.^,:;tall ...............................inch water service pipe <br />ForJ�..t....C.:.....(.�.�.,r:�,:�..�.�-::�.._ .............................................. <br />On..._._�7..:3.� l'.....".�_��� ..............................--....................... Street <br />Lot.............................................................. Block No..................................... <br />�ciclition .......................................................................................................... <br />Pemarks................................................................. <br />LABOR AND MATERIAL TiSED <br />��zc <br />Lead Connection Camplete <br />Siddle Complete <br />.................................................... <br />Scrvice Cock <br />Service Sox <br />..................................................... <br />........................... ..._........__......... <br />Superintendent <br />No. Hours L�bor............__........._...__........_..Cost ....................................._............. <br />Cul in_......._.._.._.Pavemcnt ....................X........................ ..............._.......Sq.Ft. <br />....................X........................ �� <br />....... _ ............... <br />....................X........................ �� <br />........................ <br />....................X........................ .� <br />........................ <br />'Putal ........................Sq. Ft. <br />____ ___—____—____—.--- — <br />Re� n a r ks .... ......................................................................................................... <br />........--...... _... _ .................... <br />Order Receice�............ <br />\Vork Completed.......... <br />........................................................................ <br />_ ........................................ ..... .. <br />Foreman <br />� <br />