Laserfiche WebLink
3RV <br /> �,k� /rryl= <br /> t`T l`µ). <br /> S <br /> l 1;, <br /> � `L <br /> y � . <br /> \ <br /> ,s�jce Y 3 { .'y'�x - ' <br /> NoPL ���� CITY OF EVERE� SERVICE � <br /> oRoeR N° p5 6� <br /> / APPLICATION FOR WATER SERVICE <br /> ryFIXED DATE___'_r�Q_� <br /> �.�, � <br /> � � DEP091T��_ } yy,p, <br /> 1 � ND. <br /> SERVICEur�oovnn_-CJ_,�� �� l%V� �� . _BLK..___LOT ADD. <br /> OWNER ',a„�' [da L�Q�_CONTRACTOR � L7'�(.IrC� <br /> � I AT ' _____ <br /> IN37AL RED SERVICE_-- <br /> 1 HEREBY APPLY FOR THE lISE OF WATER IN ACCOFDANCE WITH THE � — <br /> ORDINANCES AND POLICIES OF TNE WATER D�PARTMENT NOW E1cI5TING <br /> OR AS SAME MAY BE NEREAFTER CHANGED. a1cHEo: X•�y� ,� _ <br /> MATERIALS � IN. 1 IN. � 2 IN. i � PqICE AMOUNT <br /> PIPE L�j�rl <br /> � CORPORATION � J —�� — <br /> _� <br /> CURB COCK fi� � _I I <br /> SERVICE BOR PLASTIC •- C I � I I <br /> METER VALVE <br /> METERNo. __ 7YPE: _._—___I -__— --___ ____— —__ _— ___ <br /> METER BOX �f:/� qL y�� —__ _'__ _'__ -__ _ <br /> �%C, '�----�-I -�._- - - <br /> �" � -� -�- - <br /> - > --- ; � <br /> r,uC__ �-- _—i _i_ — <br /> (��oc3- 7.s`O -�/y " Ti?�',�LE —�-- <br /> -�---I ��- -- <br /> - �� -ai�' � oN <br /> DATEINSTALLED: OFF SUB TOTAL <br /> COOE � LABOR AND EOUIPMENfRENTAL I HOURS qATC <br /> I _—_ / ,� I _ _ <br /> ___ ______""__ l � —_— __ <br /> __ __/ ^ r �� _ _- _ <br /> ' _-�/� )_ � - <br /> ' ���18_/L�1- ��sr.�s'� -�- - <br /> � � <br /> i-- - -- - <br /> --- --- - — <br /> _ i - �--- - -- - <br /> 70TAL <br /> REMARKS: <br /> _—.__ 'r _--_..__ ._— ..______ . . . . . . <br /> �� _ _' . __ . _-_ _ _- _ _- _ _. <br /> - _3 C, /.� , --- <br />