Laserfiche WebLink
� <br /> II <br />� ERVICE <br />� npa�. �I�Y JF EVtRETT ORDER NO. � - <br />� ��O' � `� ��'� A�'PLICATION FOR N�ATER SERVICE � <br />� DATE��� -G�19-- <br />�� � FIXED W � � <br /> •�DEPOSIT ��� �� No._ �, <br /> r <br /> ���� �� �� LK.___LO� ADD� IJC -- <br /> SERVICE (BY AODnE'ie)- "�`'�- ) � � <br /> � - �h__/�'o-�'" � �---_ - � , <br />' OWNER_�- _ _ // "" --� <br /> �/ � V . 7__' fn = <br /> INSTALLI�_- ETERED SERVICE----- - -- ..j/ � m <br /> 0 <br /> 1 HEREBY APhLY FOR THE I15E OF WATER IN ACC6°L+A!+CE W1TH THE � �:'� � C o <br /> _� mc <br /> ORDINANLES AND POLICIES OF 7HE WATER DEPARTMEtiI NOW EXISTING slcNEo: X.__ � �' <br /> OR P.5 SAME MAY �E HEREAF7ER CHANGED. � � <br /> � MATERIALS � � IN. I IN. � 2 IN. � PRICE AMOUNT O �; <br /> -_- -� _ �-i � <br /> _ -i <br /> P�pE COPPER -- GALV.-- STEEL - - m � <br /> Q _' <br /> CORPORATION _ j - c � <br />� - -—-- n - <br /> _ I r c- <br /> CURB COCY_ OT __ I ' � �- <br /> _ - _- �— _ -1 v <br /> SERVICE BOX� F'LASTIC - C � _ K -, <br /> o ;: <br /> METER `�AWE � T ' <br /> --"TYPE: I Sf - � �. <br /> tAETER No. ____.__ ___— -- ---'l—"I--- _ <br /> — I m - <br /> METER BOX CONCRETE SMALL LARGE __ J--�- - - � <br /> 0 <br /> I __-I-L-' _ O � <br /> n � <br /> -- __ __—_I I . C_ L <br /> - t. <br /> fTl <br /> — _I - — — z ��, <br /> -i r <br /> ____ - --� —� r <br /> . - ----- -�-- �--i-, - : <br /> I K� ON - <br /> `OFF SUB TOTAL <br /> DATE WSTALLEO:�` �J ,�C'� ❑ __. ' � <br /> O' -G MOURS AAT� I _ <br /> COOE I LADOR AND EOUIPMENf RENTAL I'� <br /> � _ - �_'G�r�('r�G 73�_ -- - `. <br /> � o�-- --�-'-- � <br /> , i --- <br /> � cQ� -- - � -- -- <br /> '� i <br /> —�I ----- - _�_ _ <br /> ,__ TOT.4L � � - <br /> ,-. <br /> REMARKS: - - ---- ----------- <br />