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1011 LANE PL 2016-01-01 MF Import
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1011 LANE PL 2016-01-01 MF Import
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Last modified
2/19/2017 12:56:47 PM
Creation date
2/19/2017 12:56:45 PM
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Address Document
Street Name
LANE PL
Street Number
1011
Imported From Microfiche
Yes
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City of Evereri•—Water Dept. <br /> TURN ON ORDER ,� C'vj�' 1] 215 <br /> TAP No...----:._�:. '.::.'............ 11IETER ACCT. No.......:....... <br /> ................_ . <br /> ......................................:.._...::......:................................1'J6...'.:.. <br /> Subject to your reQular rules and regulations, plcase turn on thc watcr <br /> . � :� <br /> at .............................................i:.:.::.::............:........,�::'.:..'—.-.:..�......__...:.:'':::.:. --.............. Strcet <br /> Last teuant was...........................................Owner or Agent is................................................ <br /> Waterrates wi11 be pa ,I bY.......................................................................................................... <br /> ' . � <br /> Signed.........::..-::.-.:::..::....:................................................... <br /> CASFiIER'S RECORD . , Abovc application is approved <br /> TaNo........._..Amount Due Remarks................:..:.....:...-........................................... <br /> P 5..:.....:. <br /> ........................................................................ <br /> Tap No......._.._Amount Duc$_........ <br /> Used�vater aL...........................Tup No......._.............. <br /> ..................................................Cashier ............................................................5uperintendent <br /> INSPECTOR'S RECORD ' <br /> Inspected and t�rned on....._...........:...�.....�l�� �' <br /> '.......................i s c..:...... <br /> Class of Building....._.._....._....... <br /> ............_...................................._...................__....._..._.__.._...... <br /> Locationstop und waste.................................................................................................................. <br /> Watcr claset, privatc or public................................................Hath tubs, privatc nr public <br /> ........_..........._...._.__._...Urinals........._................_.......Outside hosc bibs....................._........._._. <br /> Plain bibs......._..__......... Barbcr Chairs_..._.._..._......_ FIorses........__.._.._ Cows................_.. <br /> II. P. IIoiiers.........._.._..._......... Rooms..._......._......__._..... Watcr Motors................._............. <br /> I�irc plugs................................................ <br /> Chargc far wal^r bcgins on...._......................................._........196......... <br /> Remarks.__.....__...........:.._�___.._... - � ' .. . <br /> . .. _ .... , ..;. <br /> . . ...... ............ <br /> -� � , f �„��l , <br /> ......... . ... . . ` ... ..... . _......Inspector <br /> ,. . .. .- . �� .., � � -- <br /> Meter Installed...::.�. :���.�.......1�6.'�.. Reading.y::.:_�'.......... .......... OurNo._.,:..:..:.. <br /> i,-. :_ .. � . . - .?�-r.. - <br /> Mcler Removed....._....__._........10G...... Siae'.............. Make.....::.:..:..::.. NumUer...:........:. <br /> Meter Read. .................................196...... � � -,-; ; ._.,. <br /> .........._.........._................:r..:;.::::_:r...::._:.....Fornman <br /> ACCOUNTING p ���6� <br /> DEPARTn4F.NT Rate..........................Entcred............d..-....................................196.._.. <br /> Block................................ Lot....................................... .--. ap No................................................ <br /> ..��a„ ._. ... � ........ ..............................t..................Cashier <br /> . .....�,i; � i <br />
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