Laserfiche WebLink
i <br /> /9�'� y` <br /> �i�"� �� ��tK� � �I� W�1����R DEP�. ; <br /> AFPLICATION FOR SERVICEANo,-oR TUf:N ON - SHUT OFF ORDER <br /> I HERE�Y APpLY FOR THE USE OF WqTER IN l�CCORDANCE WITH THE ORDINANCES <br /> AND POLICIES OF THE W qTER DEPARTMENT NOW EXISTING � <br /> HEQEAFTER CHANGED. OR AS SqME MqyBE I � <br /> ivPE p[D No. 5Uo r}"� nEv T� <br /> � cu,r �i SIZE UNITS <br /> � ��. DATE iZ�v a<-� G <br /> �� � <br /> a;,o�2 . is i� 9 — <br /> �AVPLICqTION�1�qN.pN I I SHIIT-0F I❑OTNER <br /> LJ � <br /> nooinoN _. .,.. , ;��'. .. � �eti6cK -1p � , <br /> �� SE U E ADDRE55 / /�...r�-.(.y.}„�., �f�y� <br /> Q I�L�ER � OWNER ❑ <br /> OWNER ����✓ ' ���__ `TENANT❑ <br /> el <br /> / AD�R�55 <br /> CONTRq�OR <br /> RECEIPi � I A�oq[55 � <br /> NUMpER v� FIXED q�,10UNT 5 � D.�O PAID �i�. <br /> � ❑ OE�POSIy��ECEI _{. �V ._r.____. <br /> ASIGNED : _"^"_ a" T �� -Dy i" - `-�-C-cQ� <br /> \ � <br /> REMARKS X � <br /> �- , �-�,�-, � � <br /> � SERVICE �� - <br /> ORDER NO. <br /> BY___ <br />� �� .. • <br /> j!V� l_� ♦�'f . <br /> � - <br /> i - ..- .. l:.^'�.S . <br />' I _ <br /> i <br /> _ , <br /> i 1' . a.��, <br /> s �� .� i <br /> I - 1 ""� �� aPPLICATION N(y <br /> / A N � ` � <br /> ,l r� •('/l <br /> I 1VORI(COI.IPLETfO _�__�J {__�_�.__ -���/ L.`.. . _._. J <br /> L_ J <br />` .. <br />