Laserfiche WebLink
, <br /> �h� <br /> >H <br /> ��H <br /> ay�n <br /> rx <br /> H a� n <br /> � z~ APPL. �� Y�GT 11/� ' SERVICE <br /> " y� N�. Z �S36 2 cirv or eveR ����--!��1L,R,� N° 7135 <br /> O �O APPLICA�iiC�N FOR WATER �ERVICE � ) '� <br /> � (/1H � FIXED DATE__�J�/�8�. <br /> � o� � DEPO5IT � ,�v TU POSTING 'dr":'S;�{i w.o. <br /> —,�o.-- <br /> �3 t7 <br /> o r: �i , � !'� / (`� ,�( /'u�/t/cC-� <br /> H [T7 U SERVICE (BY AooREee� �_.r,J1�_� �' S__!�� ,1-/-- .__BLK. _--LOT__=`ADD...L.1 <br /> �� .�-. OWNER--_� <br /> 7. H . e��(� -_.______._CONTRACTOfl .--_-_ _'--'_ _ <br /> C H� INSTALL._ _ ET RE@ D SEPVICE�._l�L ��U-�.----'----.�_-__.'T_ __..___ <br /> i <br /> �-.�y I MEREBY APPLY FOR TME IlSE OF WATER IN ACCORUANCE WITM THE " ��.`j�j I <br /> OflDINANCES AND POLICIES OF THE WATER OEPAPTMENT NOW EXISTING / <br /> g �H OR AS SAME MAY �E HEREAFiER CHANGED eieHeo: X ��!_'Y��-L':!_�Z_'��-� .�_ .-._ _ ' <br /> C� C7 f/� <br /> � �r MATERIRLS � Si IN.I 1 IN. S IN. I �, PPIC� 6HOUNl' . <br /> � <br /> C�'1 _CT1 PIPE COPPER--GALV. �� STEEL I I I <br /> ziaV7 _ '.—"'_—__--_._"_ ' _'_'t_—_.i_._. _,__—_�_ _. ..,,____ . I.___. . ___._ <br /> y O� CORPORATION I, � � I � ' <br /> ___ . � _--_--'-- <br /> . .._' ' - ._— __ <br /> CURB COGK OT �__�. i I i <br /> __ _—._ — _ _ � <br /> —"' _ _'_' __ <br /> SERVICE BOX I LASTIC - G 1 � I I <br /> _ _. _ . _.___ . . .._—... - <br /> METER VALVE � �' �'�� '—'� ---' <br /> . _ __ ._ ... .. . . . } `' �. �___ I_'—. .. . . _ I .. ___ _—'— <br /> METER No.—! f� � TVPE'\i�. ���Pi X ._—�----�--��, — --- <br /> "\ <br /> �v� METER BOX CONCRETE SMALL LARGE ___ __, <br /> � � <br /> _ _... _ _ _ . - _.'_ _.'-_ <br /> ���� ' � �'. . <br /> ' -__'-_ ._ ._ . .__. _....__ _. . _ _ _. . '._.___ <br /> � I <br /> � <br /> -� I_�_. "'-__ - <br /> � �.'_ <br /> I � - __.- '-_ __ <br /> � � .-__'-__'-"__'-_ I I_- <br /> _ "____ <br /> I -'.. _. -'-_. '_.. <br /> -_ __ _ . -_ _ __ —i—�—__J—__I,____ <br /> - -- <br /> -- --- ----- <br /> .. ,.a„ � <br /> � f�� ON <br /> DATE INSTALLE�: �� OFF SUO TOTAL <br /> y CO�E � LABON AND EOUIPMENfNCNi/�L ��rOUflS RATC <br /> .� . _I ` / i <br /> —;-�-/�3-- —__ _ ---_ _ -- _ <br /> .�. — -- - -- u4_1,c7�or� � <br /> ---- -- — -- <br /> �:..,� I <br /> ------ ----- - Will-qu__L3ke1L�n_.service <br /> - --- -- -- <br /> —'�. ,�n�,IlctnUo�s �vithout a I <br /> _. . - -- - --- - <br /> ( , ' ; �� hfl��+� Praven�cn Con uRat�ort <br /> - --- - - -- <br /> - - - - --- - -- - <br /> � � <br /> -- - -- - <br /> __ _ _ - -_ . . _- <br /> i I - -- --- <br /> TOTAL <br /> REMARKS: � <br /> — — - ��_a_�/__ . --- - _ __- <br />