Laserfiche WebLink
=N <br />� �tPP+, -]��J, ��•J� _..- i � . <br />E. J. Pei�M ` �" <br />CITY� �VERETI'--Water Dept. <br />Applicatlon No------------- Date.___�_ �-----,---19 3 p <br />> <br />(nstall. _ _ _ _ _� . . _ _ inch watcr scrvicc pipr. <br />For.__ . --n-- -- ,--=/----•-------------•------••- <br />..._._._ . <br />On_. a�,.g�� � T <br />. .yc__ ..-��i._lf=':-�''--------------Strect <br />Loc---•--------�•-•---... _ - -- Block No..-�-----•------------- <br />Addition.- ---•----------------•— ._..---•----------- ---- <br />Remarks . _ _ _ <br />��.._��- ------------------------�----- <br />-------- � _ <br />_� � <br />/- • � �%-� � � ------- --�------------ <br />------••--- - : _ ,.�. <br />- , ----- -�-- - <br />� - -�f-- --------------- <br />�; l/� -- --- - --- ----------- <br />�r 2 9_ - -- - -- ---- <br />�/D '"""""-"".Sun�rintenJem'" <br />� <br />_-- —_.. _ '_- _..--. _—_ '_"_ __— ____—_.. <br />LAI3l1ii A^�U r1ATCR1:\L USED <br />No. — _ __ — Si:c _ __—_ _ _ _— — — <br />------_____ Lead Connection Complete <br />---'---"--"_ ""'_"'.._ Saddle Complccc <br />___"__'....it..._"""""' __'_.__"'__'__'___'.__."'._._'.PiPc <br />-. -. _""_"" '""""""""'" Sen�ice Cock <br />______'.'_' __".___'___ Scn�ice bos <br />...'_""""�.. .. ".'"""'� """"' ' <br />No. Haure Labor.. _ . _' _ _ _ . ' ... _ _ _ _ Cost.. _ _ _""_ _"""_""_' _"""" <br />Cut In'."�'. _. i'aeement____'__" \__'__'_"""' ""._'""""Sq. Ft. <br />"""A_"_____"" �� <br />--- --------__-" <br />------_X .._.-.'--'- �—_'-------' .. <br />---'a--------"'- �� <br />----- ----.._—'-- <br />Total __.__"""'_Sq. Ft. <br />Rcmarks._...�-------••--•-------- — -----•---•---�---•---- <br />- -- — ----•----••- ----- - - — •----•�-----•--•- ------�--- <br />---- — ---- ----------------•----- — --- ------------------ — - <br />Ordcr Rcceivcd -- ---------- --------•- --•---------------- `- <br />\C'urk Complctcd-�----�----- ------�—�------------'---- <br />t-.��._...�. <br />