Laserfiche WebLink
W. S J. 1r;b;4M 7"1 5 �/ <br />U. FVm' Water Dept. <br />CI `� OF F 9RE,j-j -- <br />_ ._..19...... <br />Application No... ..:.....:.............. Dateinch water service pipe <br />l <br />For.......... ..................._...._._._.....,_....... <br />:- Street <br />On --- <br />...... <br />7...j............:_..::.::.1._:............._...............__......_.. .. <br />Lot...._..` l":1ke.............................. Block NO............ .. .................. _ <br />Addition ....... <br />................ :.... ............. ................ <br />.I -A-. .......... .... <br />..:..:.. <br />Remarks _........:............. <br />................. <br />-+ /ABOR AND MATERIAL USED <br />C . <br />Lead Connection Complete <br />Saddle Complete <br />Service Cock <br />Service Box <br />No. Hours Labor......._.........._.._.._......_.._..------ ..S9. Ft. <br />Cut in ............ ........ Pavemen ..........._._.. .. <br />.................... X............. <br />_._... ..._._...»._._... <br />Total I.......................Sq. Ft. <br />....._................................_.---- <br />......................................_.....�f'� <br />..... l...... �1. ........... <br />_. <br />Order Received........._ :"�::.. t • � <br />Work Completed ................. _......................................... ............-Foreman... <br />