Laserfiche WebLink
/ ��t@f006((�y <br />i�T ❑ <br />T�N SMO F SEWEfH�CONST. N/ACNG. <br />ONLY ^ � <br />�JS / <br />APPLICATON NO.���� / `� <br />DATE —. <br />- p� O�. 03 O <br />BILLING NAMpE �- <br />BILLING AODNE� <br />CITY, STAT� ZIP � <br />SERVICE AO��E55 <br />OWNER NAM� � . <br />TURN ON L <br />F A VE METER NO <br />' I 'S ALL METER N�. <br />� <br />NEWSLNV�CE/ <_ <br />INSTRLLED LJ <br />DESCRIPTION <br />CURRENTCHARGE <br />CRCK CHqqGE <br />CREOIT AO1l:5T <br />OTHER . <br />� <br />BY <br />U <br />�� /�^� DO NOi Ra. <br />' � QC109rIGertl <br />❑M'If4 GIG. <br />���19�D <br />OD�TO Or�D Sv[CR <br />SHUT OFF ❑ CHA�IGE METER ❑ �ATE — <br />� REAOING <br />� _ REA�ING <br />OATE <br />� <br />� <br />� <br />ON <br />OFF <br />� <br />� <br />19— <br />.19�(J I <br />TOTAL <br />i <br />� I <br />O. "�"�� i <br />w <br />