Laserfiche WebLink
APPL.ST`� ,�O ��O APPLICATION FOA SERVICE SERVICEN� �,�`�( <br /> No. ��U f J(� ORDER <br /> CIT'Y(�OF EV R /{'�{'�AYER DEPII'. /o - 7i <br /> �D i i- l�.'' r-a_..-..-__..-. � ��l .. i� �� DATEL�—IB__— <br /> � DEPOBIT i �. • ` . , . � VV.O. <br /> No <br /> G� P�. �F <br /> 96RVICE f�v�ncn. �j � Od y / G}Ll/LL.L BLK. LOT. �7'ADD.��C'CeN�!/DO_D <br /> OWNER f�C�l/HY .(�C--.!!1(' f�i4-�/i0 CONTRAGTORI: ,I . ��! ��''/II H A�/'. <br /> �/ FLAT � <br /> INSTAL��¢p SERVICa I" � .'''(' 1���/�� 7i���° ,y�r A <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE \ � � ��� ��� ' �� �� <br /> ORDINANCES AND POLICIES OF THE WATER DlPARTMENT NOW EXISTING /� � , r ���i � <br /> OR AS S�ME MAY BE BEREAFTER CHANGED. sl�weo•�.J��. � ��� « �� -�� �/� <br /> i <br /> MAT[IIIAL� � IN, I IN. 3 IN. I�. PRICE � AM�ONT <br /> P�PE COPPER-GALV.-STEEL <br /> CORPORATION <br /> CURB COCK OT I <br /> SERVICE BOX PLASTIC •• C I I <br /> METER VALVE <br /> _METER No. TYPE: ;� <br /> M6TER BOX CONCRETE SMALL LARGE <br /> I <br /> — '_i _ _ <br /> I <br /> I <br /> I I I I <br /> _ I � ON <br /> DATE INSTALLED: �OFF SUB TOTAL <br /> COOE � LABOp AND EOUIPMENfRENTAL � HOUqS RATE <br /> ___ _ I <br /> �,�� --i� - - <br /> _ i <br /> i1 <br /> -�--- - -- --�?� P-�--j-�- --- - <br /> � - --- - � - <br /> _ ; _ - --- -- - - <br /> T TAL <br /> REMARKS: � r- � <br /> 5—��r� i� 1 r F' _1��!7 •_— t G" p (J e�► [� � N�— <br /> ------ ---�s--- ; � ..� <br />