Laserfiche WebLink
✓ <br /> /���� /�"'���'� <br /> n. o. roan� <br /> - � CITY O� �.VE�E�T'--Water Dept. <br /> Application A�o.�"�.�'� Date..............l:��.�.....1..............19.1.r'- <br /> Install...............................inch water service pipe <br /> . � / <br /> For ..........sF�ir.c�.../.._L:`'�.�oa.:� .ss,-.S.J..........._................................ <br /> on .......�.�.......::'..n.'`.�...�.!'_.._L�-res.z`..._�s:<r..c.�...:............... Street <br /> I.ot...................... ..................................... Block No..................................... <br /> A�idition .._... _...._.................._.................................................................. <br /> Remarksc�.ac.�'�6 _.��^.�.a�_. ............................................................ <br /> ......... ......................................................................................................... <br /> _............................................................._- --....._......................................... <br /> __.........__ ............ .......................................................................................... <br /> ..... ...... ........._..........._........................................--................................ <br /> S�iperinlendent <br /> LAAOR .ANiD MATERIAL PStiD <br /> Nu. i Size � ___ _... __ <br /> _—_...__—. __`—_—__._ <br /> � ...__ _...____I Lend ConnecNon Complete <br /> ................................ <br /> _.........................I......._... .....___.I Saddlc Complote <br /> ...tl.I. ..........._..._.....................................................Pipe <br /> .................... <br /> ....................... . . <br /> ....................._..... <br /> .............._.......... Scrvicc Cock <br /> ........................... .......................... Sc::icc IIox <br /> .�......_....._..........I......_�.......�.......... ............_................_............................................................................._. <br /> No. Hours L�Uor.............................._..............Cost......._......................_... .............. <br /> Cutin..__..............Pavemcnl._................:{._..................... ._.....................S9.Fl. <br /> ....................ti........................ ........................ <br /> .� <br /> . <br /> ........ ..........1............._......... ...................._.. <br /> ..................:C....................... ........................ �� <br /> 7'otal ........................Sq.Ft. <br /> ------- ---- <br /> . ........................._................_........................--...... <br /> Remar s__.......................... <br /> _.__..._ .. ......_......................................................_............................... <br /> ...................................................................................................................... <br /> Order ?Zeceiced...__.............................._...._...... ........__......_...................... <br /> \�'arL. Complctcd _ . ..... _ _ ._.....__._......... .. <br /> _ . __. ___ _._._ <br /> Foreman <br />