Laserfiche WebLink
APPL.�%/�i �� <br />No. VJ <br />� ED � � � <br />� DEPOSIT c /�y� L <br />'�- <br />Ar^PLICATION FOR SERVIGE SERVICE j�° ��� �' <br />ORDER <br />CIiX 4F EVERE'FT WA'£ER DEPT. ��__,e7� <br />DAl'E� <br />W. O. <br />N o. <br />E(/F��%� _OLK. LOT��ADD.—!G �� <br />9ERVICE l/er� �oone88)� <br />��WNER�i. ����J L- � S�F�GL- _--.CONTFAG O�{/y f=C�it/�Z <br />/r FL.4T � F� <br />INSTALL-7�L�—MGTERED SERVICE-------- <br />I HENEUY AfPLY FOR TfiE USE OF WATER IN ACCORDANCE WIiH THE //,1' I JT �� ` <br />O6 ASASRME MAY P E�IHE EA TER C ANGED DEPARTMERT NOW E%IfTING s�erveo: X1�--S.�+�=-� =,-�+�-��— — <br />i I: �u ! � iH. I 1 IN. I I � � PNICE � AMOUNT <br />pIPE <br />CORPORATION <br />CURB COCK <br />SERVI�E 60X <br />METER VALVF <br />METER No. <br />METER BOX <br />MATERI�LB _ <br />_ COPPER • GALV. -- STEEL _ _ <br />OT <br />�: <br />PLASTIC -- C� �'; __ <br />TYPE: I `� <br />GONCRE7E SMALL �ARGE <br />DATE INSTALLED: <br />CODE � _ <br />I � ON <br />�� � OFF <br />LABOR AND EGUIPNENT f1ENTAL <br />�(iB TOTAL <br />HOUFS I pAT� <br />� �� I _ / � <br />� �� � .' GG-L.� > . __--_ __� '_ f� _— —_ �� � _' <br />I �!'z( _ �.•-�--'��� ----- -- - --i. i, <br />� '��'--- ��'3-'3 -- -_ -- I-'�-- --- ------ <br />��-�___��_'�- ------ � I�i I _ <br />� - ----- - <br />/'� _/ .-- _ ------- -- ---- --- --1— . I I I <br />RE�dANKS: - / j '� .. _ . . _ _ _ , _ .____ _ '.__-- _-- <br />__ _____ f-_u; �---�— <br />...__ .._._'__.. _'_.._ __ _ <br />__ _ <br />- - — --- <br />