Laserfiche WebLink
' � oX <br /> M�^ O APPLICATION �OR SERVICE eiRvic�N• 1680 ' <br /> "°. �� y� OF EVERE1l' WATER DEP�'. ono�R � � � � <br /> � . � �D O � �rJ �-�� � DAT� _LL]D(� <br /> �FIX[D n � A p w 7- � <br /> � oarorir s /7S. 00 •1'� n � l � ` �. !� ry'o°' ^--�--z, <br /> O<RVICRI�YADO110�) 29�3 �Q�nV�A�`� BLK. — LdT_1—=ADD.�IIS4����-; <br /> ��� J� f <br /> OWN[ CONTRACTOR.—l�`=�='a �-S--C�--�"-- <br /> �RLAT 130 3 i�J� w0ocl � �- <br /> IN9TAL � � 6ERVIG� � �4�i'dT�� - <br /> I HEREBY 6MLY FOR THE US! OF WATER IN ACCORDANCE WITH THE (:- � � � � <br /> OIIOINANCES AND �OLICIES OR THE WATER D[PARTMENT NOW E%ISTING e�cr+Eo: X._���Zb�-=�T�rE, 7l-J,���--— <br /> OR AS S11Y[ MAY BE H[NEAFTER LH�NGED. <br /> MAT[111ALJ � IN. 1 IN. � S IN. I Pp�CE AMOUNT <br /> PIPE COPPER-GALV.-STEEL _ <br /> CORPORATION <br /> CURB COGK OT I - — <br /> BERVICE 00% PLABTIC •• C 1 I _ —� <br /> ME7'ER VALVH — --- '- <br /> M[TER No. TYPE: K _ — <br /> M[TER BOX CONCR[TE SMALL LARGE <br /> ____2'-���`o w --�f-,T--- � — _ — — <br /> � — <br /> M - — I ' <br /> � I I I I <br /> � ON <br /> DATE INSTALLED: /ii .�ad� 'l q �OFF SUB TOTAL - <br /> v J' /.�C <br /> GOOE '� <br /> LABOR ANO EOUIPMENT HENTAL MOURS RME <br /> III —_�_-_— ly✓/�1.�/l �_--iJ— _ _—_=- <br /> — ---- __ `�e,,�f�J� -- - -- <br /> —�--- __-- ---------�I-- -- — <br /> �� I TOTAL <br /> � . . I ' . ! . . _�. <br /> t . . . � ;. / � .. ' ! " � ' � <br /> REMARKS: .L�S3�L_--� : � �" , - . . _�. ._.--i.__ <br /> .-. _.._____ <br /> _" '-'; . i i '_ <br /> _._.. _ _.-___ _ . , <br /> —____—__ ':/.� i� , . � _ <br /> � � <br />