Laserfiche WebLink
6. J, .PRI[![ 77 <br />W. I09M ] •� <br />CIT O E F,RETT--Water Dept. <br />Application No ..... 1... .L -.!.. Pate.... �.../. ......................19...... <br />Ins ....... ............... /-inch water service pipe <br />For ::............�...f. fib: _ : L/ ....... <br />.. <br />_. ...».......'.:..::............................... <br />On ....... �...._� I `�..-y R ���• c.--� o Street <br />Lot........... _ .J... .-...... ,a .-...._....... Block No... ................. <br />Addition <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddle Complete <br />........Cu: f �9.'-t...._.._.._.._.._..................... <br />Service Cock <br />Service Sox i <br />No. Hours Labor........................... _................. cost ........... __..................................... <br />Cuti,l.................... Pavement ................... -X.................... ....... .... .......... Sq. Ft. <br />................... X........... _.......... .. <br />.................... X-.............. _....... .� <br />.................... X........................ .. <br />Total ........... ............ Sq. Ft. <br />Remarks.................. . .................................................. <br />p <br />...................................%a:. ..-lc.!:-......./4.,z" .._.444.1.: .... <br />1- /k <br />.................................................. <br />OrderReceived .......... ........... .......................................... ...... y....... ........... _.. / <br />Work Campleted-._`).;:...........-:I.......................... <br />Fore an <br />