Laserfiche WebLink
City of Little Canada <br />BY CITY <br />Permit for Water Service Connection <br />„3? 'V(., <br />LEGAL DESCRIPTION: - •••- •••-- °'•" ". " "�• -� <br />Sewer #......,....t..LS%............... <br />Water # .....` ....... ...........QQ._..-- <br />Date ....-....: /?.:. '1........ <br />OWNER _Lima (� (� �.•.--b i� J • ^. ...A ... ... ............ ......... . ........•.. °---•---- - --•-..._ADDRESS -. <br />2- 1 -- 2 , SZ� ........_ .... .._ _ ....._........•- °.-• -...-- <br />ADDRESS c'- • ( <br />CONTRACTOR •-- -- <br />Nature of Bldg. - -•• -• <br />Applications ........................................................ <br />- - -• -- <br />................... _._..... <br />_ (Distance from nearest downstream hydrant) <br />„� MATERIAL USED <br />SERVICE I En App REMARKS <br />WYE LOCATION APPROVED DATE <br />SERVICE or W <br />ITEM: <br />VILLAGE PROPERTY: <br />I. WYE in Main <br />Property Line <br />Pro <br />2. Main to P <br />3. Street Permit <br />PRIVATE PROPERTY: <br />I. Inside Plumbing Connection Completed <br />2 pu Outside dsi et d Service p Line Wellsl Ties, <br />(Show North. Street a d Property <br />and Dry <br />SKETCH: <br />Location of W ell, Unfilled SeP t <br />HOUSE <br />Street <br />kj 4 a3 <br />1/ fro <br />Gas+ �e 0 <br />/C- <br />/1 en- <br />EQUIVALENT <br />WATER SERVICE <br />METER SIZE ......................................... <br />..._ .........................•..... <br />Service Recorded:....... ................................. <br />Signed - ---- <br />ACT <br />for the City of Little Caned <br />