Laserfiche WebLink
�A��" f�98/7 <br />No, <br />W `� E�' <br />7 � FO <br />� DEP0517g �,-n�.�j, <br />6ERVICE (qY,W��eee�� <br />DWNER �` ��-.1.IlC_ <br />��1�� -PtA1� <br />INSTALLI�METERED SERV <br />ARFLICAx:ON FOR SERVICE SEFVICE (1f o 5 6 9 <br />ORDE <br />CITY OF EVEREYT WATER DEPT. ,,, <br />G <br />UATE; � �1�L� � � 19`� � • <br />/ <br />W. O.. <br />No._ <br />i�/[( � <br />�.. __9LK. LOT 4DD. _ <br />i <br />CONT:IACTOp=_�� �! 1 N.;� 'v" �_i�,c 1 i.c i�J <br />� HEREBY APrLY FOR THE USE OF WATER IN ACCORDANCE VIITH THE <br />ORDINANCES AND POLICIES OF SHE WA7ER DEPAR�MENT NOW E%ISTING ��� <br />OR AS SAME MAY BE HEREAFTFa CHANGED. sleneo:X 'Y�• <br />MATENIAL9 I��H• I��N. I 2 IN. I I <br />PIPE <br />CORPORATION <br />CURB COGY. <br />SERVICE BOX <br />METER VALVE <br />METER No.'�� <br />METER BOX <br />OT <br />GALV. •- STEEL <br />% <br />PLASTIC -- C I <br />_ �. U •' � �.... <br />DATE INSTALLED: <br />COOE <br />i .r� �,.:.,, <br />� <br />_! -)',�ru: <br />I <br />� /_) ,_. — <br />'E:_%�_-1:_�i_ � IS <br />��SMO.LL.� L.ARGE <br />� ON <br />- �.S "L�� [�OFF �>_); <br />LABOR A�IO EOUIPMENt RENTAL <br />PRICE O AMOONT <br />SU9 TOTAL %'- J�( _ <br />NOUH9 FATE <br />_� � � - <br />- �, -- <br />; � _ � � � �, ��.i <br />— — —i � <br />— I -- <br />/ �i = �� — <br />�r �� . rorn� i� i��� rl d <br />REMARKS: ' - <br />----z1_c.��- � /--�-J. � _ �:. — �� C_U� r 7 �1 v 7.-J1.�=- <br />- --- �s. - <br />T? �`'� % � - �. _ �: L. - -- — _ <br />- -- -- _ <br />