Laserfiche WebLink
ti J: Priebe /`.1'7 IM <br />W.0 Fom f � ' <br />�TTY VE1 &E-M-Water Dept. <br />r <br />Application Dat .... ...r.:.._<....i................ /.. 19...... <br />C lnsta ,�. pj inc ater service pipe <br />For .......... 21...��,.....Cl.f.;.(/1:1.f:a:S: ....................... <br />y� On ........... -� _ Street <br />.... <br />Lot.............................................................. Block No ........ _.......................... <br />I Addition......................................_......................... <br />............. <br />.....__......... <br />Remarks..................--.�_.''....._..EE_.....�._..�......_..._........._.._... ....1;... <br />oV (!aa.t.%.,.,�._.'1/4 <br />................................... ......... ................ ....... <br />t <br />............................................................... <br />•-�......_...._..... <br />i <br />c i , . ...... .... peTintem <br />J.L� 71 <br />LADOR AND MATERIAL USED <br />e <br />�_. <br />Lend Connection Complete <br />..., ......_I <br />1...ti.°•. ........., <br />Saddle Complete <br />. -SvK <br />.................................. ......................... ......... Pipe <br />zg............ <br />Service Cock <br />,,, ........_..... <br />Fervice Box <br />Remarks...&.�..2..... a7 <br />..... .......... ........................ I.......... <br />Order Received......... I .......... ....... <br />A . <br />\Cork Completed.F:.......:;t.......... <br />....I.- ................ <br />........................................ <br />Foreman <br />