Laserfiche WebLink
%`f.290 ,; <br />, <br />w. r� rovw .r � - ' <br />CITY �JF 1=VEhEfT--Water Dept. <br />l'[.( c.� i � � � (� , , ,�. <br />A�pLca�oa No ....: .::......_C-.c. Date........_i......1.......:u2.................19...... <br />/ I, ......... _inch water service pipe <br />�sta................... <br />� '� �...:' , C', • <br />., <br />.......... <br />.. <br />For .._.�.� ..............:............ . • .:.�............................ <br />•'- S /d �i _ .! �.�./ ,... ... Street <br />O. .... . . <br />.i .........i ........................._c......................................................... <br />Lot.............................................................. Block No..................................... <br />Addition._...._ ..........................._....................._........_................................. <br />Pcrnarks ........................................................................ <br />................................. <br />... .................................................. <br />. .... .............................................. ........................ <br />....................................... . ....Superintendent <br />i.AB�1R AND MATERIAL USED <br />No. i a�ze ! __ _-- -- <br />--- — .............I <br />......................................_. Le;+d Connection Cumplele <br />.... _ ..................... .................... <br />. Saddle Complete <br />...._ .................ft............................ ... ..._.._ _._.......__........_.._........ <br />...........__..._..... Scrvicc Cock <br />_ _ ....................... . <br />.__..._......._..._.:__.._. Scrvice Box <br />. .. . .... .. . . ... _ _. .. <br />No. Hours L�bor .....................Cost.................................................... <br />.. _ ................_... <br />Cutin__..........._..Pavement ...................X..............._....... ........................Sq.F' <br />....................X........... _. _........ .. _.................... <br />�� <br />....................X........................ ....................... <br />�� <br />....................X........................ ...................... <br />�� <br />Total .................... �q.. <br />. --- _ --�_._—___._ <br />iicmarks....... ......................_...................._............ . . <br />..................... . <br />....................................................................................... .... ................... <br />.. <br />OrdcrR,,; .,iacd . .._...___......__..._ ............................................._ ................ <br />11�orL_ i:�,m���iit�.��l_...... . . ._._ ....._... ......... <br />. ..........._.... _._... . . . .. . <br />Forun:in <br />