Laserfiche WebLink
'".'.`� x • ' . ' d h r::.. <br /> ///ww+��� 0o r+or ar <br /> �/'e-�( � � � � � QROAwGNLL <br /> TUNNON SNUTOFF SEWEPCONST� N/�❑CNG . ❑wttll<nG. <br /> OHLY � <br /> APPLiCATIONNO. ��� � �� �� 19L— <br /> D�TE <br /> ibE OCD ACCT.NO. SU� PCCT. �YIf NSI. qEV.CL 512E NO UNiT� <br /> 3 � � / D / O � �'_� D O OHC YALI <br /> 'f / O O <br /> � <br /> i <br /> � BI�LING NAME � � <br /> BILLING RODRE55 <br /> �_� <br /> CITY. STATE ZIP <br /> SEHVICG�DRE55 I ' <br /> `jL�i� � l n' ^ __, /� . <br /> OWNER NAME � �u��X/ NJ� 7y(iy2.� <br /> BUII.DER � Q � . <br /> / <br /> SIGNEOX i1 L�L <br /> REMARKS: <br /> � 5.0. ��Y`.� � BY ��f-� <br /> �.�7 • � " � 'J�`�l6'.ii _ ' <br /> Tl1RN ON SHUT OFF ❑ ���qL E M�C�R/❑ pqT� — � �� <br /> ✓ <br /> REMOVE METER NO._ REAOING <br /> INSTALL METER NQ E OING <br /> l�l <br /> NE'N SEHViCE -f ' <br /> INaT�LLE� � ^ ! � � �/J ❑�F.� pY ��� <br /> ��� <br /> DATE ENT[FEO � �-1 C <br /> 19J <br /> OESCRIPTION H'ATER SEWER 5[WCa � <br /> SERVi^.E SERVICE CONSTF�CTIOY TOTAL <br /> CURRENT CMARGE �� =,j `�� <br /> �S /�/O <br /> ��CN CNARG . <br /> �GRF3L'LADui i �2 f�!i �/✓ 5" .�S U O C'�� <br /> . h�S v��%-�.r�- <br /> OTMER i <br /> L -U`9J.V ''.G,� <br /> REMAR;(5: ���� <br /> 4�_ . j�� r <br /> N O. �k ,;b � <br /> ��W��ILLi�� <br /> ! <br />