Laserfiche WebLink
rf- , <br />� <br />� <br /> f <br /> s ].e.i�n��Nv.a��./ � �Fa,/ . <br /> W.U Form) <br /> GITY C�i '- JERETT--Water Dept. <br /> i <br /> . ;� <br /> ; ,; ., ; <br /> Application No.�`........:.....:'.... Date..._..... ..-.-.--..........................19..:... <br /> i _._.,...._..:inch water service pipe <br /> �-, <br /> lnstall........:....L�� <br /> / , f ,. , <br /> . , , :. . . ..__....... <br /> ......_.`.... ......... 1.............._.._................................. <br /> For .................... ................ <br /> � / ' r � Stree: <br /> - ` " ...._<..........._.............................. <br /> On .................................... , <br /> Let.....................................................� .... Blocic No...........--•--�--.................. <br /> Addition ................................. . ...................................................................... <br /> ......1................:.............—...._.............. <br /> Remarks .........._�................... . i <br /> . ...........� , <br /> ' ' . , . .:..:...:..........................--- <br /> ........ .. ......................:..._.... <br /> .......................1:..._:......_.. <br /> � � ................................. <br /> ...._ - - <br /> .. . ............................... i .. s........................... <br /> .. ...... <br /> ... .... ..................................... .�-�...... <br /> .. . ... <br /> ..... . <br /> � : ,� - <br /> .� �..._.....:f..:.`.:..`--_:--'�---'- <br /> ..........,��_.......: <br /> . ,�.� .........y................. : ,, <br /> �-� 4� ➢ ��� � � Su�erintenden <br /> �{� — � <br /> a <br /> � "' �-� ,� r �� l' I LABOR AND DfATERIAL USED <br /> :�, <br /> �No. '� 1+. C�Size ' _ --- <br /> ;.;. — � " . —— <br /> ....................:.........:...................... <br /> Leacl Connection Complete <br /> ............... ................................... <br /> Saddle Complete <br /> .............Pipe <br /> ....................... <br /> ft........................... ........................................................... <br /> ...................................................... <br /> Ser��cc Cock <br /> Servicc Box <br /> .._�.�.........._�...._ �........._......_.....I �_.....�.._�.._...._._...__.._.._�......................_..._..._._......__..............._....�...... <br /> .......... <br /> . ......................................Cost......................._........................... <br /> ,10. Hou:s Lcbor. �� � � � <br /> Cut in...._........__i.ivement....................X........................ ._.....................Sq.Ft. <br /> ....................X........................ ........................ �� <br /> ....:...............X........................ ........................ <br /> „ <br /> ........._....__.X.........._............ ........_._........... <br /> �� <br /> Total ........................59.Ft. <br /> ---- <br /> --- . , � , .. � , <br /> Remzrks...:'...'_ _............. ..._......._�;.:::.:::.:-::.......................................... <br /> _._..........._..._................:..............................-..........._... <br /> ........................................................................................ <br /> Order Ecceived......................._-� ...........;,..,,..............,...:......,.............._-., �r <br /> R or}: Completed......( � Jl.J...-.:f. �`•.......--`.:_......... :.�........:...:.. <br /> ' '�--'--....... Foreman�/ <br /> 1 <br /> 1 <br /> ] <br /> 1 <br /> a <br /> I <br /> _. . ' � <br />