Laserfiche WebLink
APPL � O ��S A'^iIC.eTION FOR SERVICE SERVICE (V° 'I 'I 7� <br /> N� ' - I C,V�Y OP�VE/R��TT W,�4TER�EPT. ORDER — � <br /> � (':/i. .'� � r DAT��v �� � l <br /> � FIXED � I-fL � �G 'E- -P-„1 F�/� <br /> � DEPO5IT s ��J, �C -. u � No�__ <br /> � Z� � i. <br /> SERVICE'{'.�,/ ADoxE/qs� - ���" - - . 2 BLK. LOT--ADD. <br /> �y���LCiF'�%�,Ly-Li �'��� C2'�='� 'C� �c:.. C . TRACTOR <br /> OWNER� — — <br /> ri � /�/ g7� <br /> INBTAL���MET�ERED SERVIC�`^"��� '�G(,L��' J��� -v�r`�• <br /> i . �I✓ <br /> I XEREBV APPLY FOR THE USE OF WATER IN ACCORDpNCE WITH THE � � ' / <br /> ORDINANCES AND POLICIES OF TXE WATER DEPARTMENT NOW EXISTING '� <br /> OR AS SAME MAY BE HERE�FTER CHANGED. st�rveb� --- <br /> M4TERIALS L �ry, � I PRIGE AMOUNT <br /> PIPE �CcOPjER`-GAW.--STEEL �?_ �3 <br /> CORPORATION �� 5��- <br /> CURB COCK �DT I � I _ <br /> — I I= <br /> SERVICE BOX PLAGTIC -- C I ��j�� <br /> METER VALVE —----'— I --- ' --- "— � <br /> — --_ _'�—_ � <br /> METEF2 No. TVPE: I 39 �--'—_I—'-- --' <br /> 1 � <br /> METER BOX CONCRETE SMALL LARGE ___.�___ <br /> I � - _ -�'�-_I!-. <br /> -- --r--, <br /> -��_I <br /> - --- --I I I <br /> -----_--- ---- -_II _i�--� �- <br /> I <br /> ON <br /> UATE INSTALLED: /��y ,. „��+ I �'OFF � SUB TOTAL ��iL� <br /> / L� � <br /> CODE I LABOR ANO EQUIPMENT RENTAL HOUR6 IRATE <br /> I / ' JL...' - ___ V / _ <br /> I `> - --- � -�-- � �,. . <br /> � ' - _ -�, - <br /> � ` _ il �� <br /> -'�--- - ------- -------� �- � � ''�' � i` <br /> li �i, i- <br /> — 'I _ _—- '__. ''____ —_ _ I tOTAL I � � S <br /> REMARKS: � <br /> _—_._— '___'_--_ . —_— <br /> —_ —— � <br /> .___— ' _./__. . <br />