Laserfiche WebLink
APP���j � <br />No. u- O � <br />� FIXED <br />� DEPOSIT g � <br />i <br />� __ <br />uERVICE (BV ADCREU6)_�. <br />CI"I`Y�CF EVEREI"T ORDERE NO. �.G°' ` <br />APPUCATION FOR WATER SERVICE <br />onre 9 � _�e�Z <br />W. O. <br />// No. <br />�-�c� / �s.gY ,2 � .�G'6t� � <br />�7`-?�.��� `� _ <br />6LK.___LOT �� ADD. <br />OWNt.RL/( -� .rJC,t�`_ `� �;/���(LCG��'� ��ONTRACTOe7_ <br />� .V FLA7_--. <br />INSTAL��^5_�ETERED SERVIC�. _--_—___� <br />I NEREBY APPLY FOR THE 115E OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLI�IES OF THE WATER OERARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED, sIGNED: X._ <br />MATERIALS $� IN. 1 IN. I 2!N. <br />PIPc COPPER--GALV. •STEEL —�I /i/ <br />CORPORATIDN � <br />CURB COCK OT <br />SERVICE dJX� PLASTIC -- C 1 <br />_' , ,1--' �,1 ' --' <br />METER VAWE ��� �p�� �'�'� �j ,�LC <br />_— �� . _—.. _I - _ <br />METER No. �' lYPE: ��,(( ',� <br />. �%1--'__ _.- __ �—_..;!_� _ _ _ _...— <br />METER BOX CGNCRETE • SMALL LARGE � <br />� ��/i'i E%�: /l r L�N(i�—._— <br />_�< �" G',1�/_�� _-- <br />����, . <br />3: -, , J�'p��is-- <br />T—"o2' � .7i,:o�x/9a 7Ar• �••vuP<.i'_ s�JAr or <br />,n'.. �.. <br />ON <br />DATE II�STALLED: /�_. / �� 7 "7 � OFF <br />l / <br />CODE I L�9DR AND EQUIPMEN'fftENT�L <br />REMARKS: :Jl �'�- . � <br />��'Y-Ti <br />� <br />�� <br />(_ /'[_�/f'� ��___— <br />Ji�J// <br />3 .2 <br />� <br />PRICE II AMOUYT <br />SUB TOTAL <br />HOURS I i!/�TE <br />// <br />rora� <br />