Laserfiche WebLink
�Pr�. �� o � �j� !`,ppl,i(:ATION FOR SERYICE A �j <br />NO. ,_ O7GJ SERVICEy��� � ���) <br />i'. <br />C11'Y GrF EVE�i�1T WAi'ER [3EP7. �ROER <br />��� 1`IXED DATE�__L�__1B�j_. <br />�tPO81T S �p p 8 S <br />"V. O. <br />No. _ <br />/�L�Zd/�8f1 N kicyT o � tr/4 / - -- <br />SERVICE (9YADOREH!)__1}/r�•1 i� rh' <br />�, BLK. �� LOT '� DD. -- <br />OWNER S__T��_fL�_ ,__CONTRACTOR <br />'NSTAL �� �� <br />METERED SERVIC� <br />I HEfiEUY APPLY FOp THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATEN DEPARiMENT NOW E%ISTING / <br />OR AS SAME MAY BE NEREAFTER CHANGED. eicNep: %.. '� (._�G�i,/CQ(�J/TL <br />. MATFPIALI ii IN 1 IN I 1 ��I�I pRICE <br />P�PE COPPER - GALV. - STEEL <br />CORPORATION <br />CURB GOCK <br />SERVICE BOX <br />METER VAWE <br />_METER No. ,: <br />METER BO:( <br />3 <br />OT <br />PLASTIC - C I <br />�-'-,�j�/i�,���o TYPE: �,� I5 <br />CONCRETE 9MALL LARGE <br />:� E`E q NN� , <br />UATE INSTALLED: <br />�.JOE 'I <br />I <br />� <br />I <br />____i __ <br />/i v J :.L /. <br />� ON <br />C- C�FF <br />aL�LL_ � _ <br />LABOR AND EQUIPMCNfRENTAL <br />_—___--__--__. _ �• <br />SUE3 TOTAL <br />HOURS ` RATE <br />TOTAL II <br />REMARKS: <br />-_-'____�lL/ � -- _. _ __'__'—__'_ ' <br />_ '_ -__._. "—"_.___--__-__—. <br />AMOUNT <br />25 <br />