Laserfiche WebLink
�: <br />t' <br />r_ <br />„Pr�. �3 yy ` CI'fY OF EVERE fT <br />���o. qPPLICAiION FOR VIATER SEFVICE <br />u FIXF:D a�, <br />� DEPOSIT s �_! <br />� !(� ����`�_��� ��y/{/-��*�'�•� <br />SERVICE lBY AOOP s��/-�-- �/ <br />��' �J� �,_ _- __ ._CONTR.4CTOR. <br />OWNER -�L�y�T27 <br />�%// A� —� <br />INSTALL_-�j� hIETEREO SER��CE_---- - - -�"�-- <br />C <br />i HEFEOY APPLY FOP THE USE OF WATEP IN ACCOFDANCE WITH T SIGNI"D: X� <br />Op01NANCES ANO POLICIES OF THE WPTF.R OEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE N'_FEAFTEN CHANGEO. A'N ."H ,21N. <br />MATERIALS I I / <br />COPPER -- GALV. -� STEEL _ _ . -. - - <br />PIPE __ __.— -' --- <br />CORPORATION ____ — ---_ -��' <br />CURB COCK .__ �'_____ ----- I <br />SERVICE BOX PLASTIC --_ C �__ � <br />�— <br />METER VALVE ___ . _ . -� - - .. _... � .f . I -- <br />- TYPE: , _I--.�—�' <br />METER No. _ --- -� � � I <br />CONCRETE SMALL LARGE_ �� _._�_I <br />ME'!FR BOX _ _. _- - - -----'- � <br />I <br />-- -------- - — -I�i— -I —I <br />� <br />SERVICE ��', <br />ORDER NO. � � � � <br />DATE�sN�' :- �-L�.. _ 1 H7.-/-- <br />�/ <br />W . 6. <br />No._-___ __-- <br />� <br />r '� <br />%� �Z�dif� - - �--- <br />_ .-_'. <br />_' _ _ / <br />- r� / i�- _ _ -__ <br />� pRICE �� �MOUNT <br />I - '_ -' <br />---�— --- — — -- - I — � � ---I---1, �j — -- <br />----_- I — �------ --- <br />-' _' � � <br />-------- ----- _ - - ;I -�i <br />-� ON SUB TOTAL <br />� n OFF <br />OATE INSTALLED: Q� �--�' `�� HouFs AATE <br />COOE � ` LI.DOR �ND EOUIPMENf PENTAL �, _� � -I I � _. -- <br />Yl <br />' _ __" _-_-- -- <br />11 <br />----------- L,C-ww. �_L----- <br />-- - ��-� � ��— ---- <br />-',__________ -����/�� -__ - __---___ <br />� ------- � <br />---- � <br />-- <br />- --- - <br />� _---- <br />------ <br />----- <br />. ----- <br />_ <br />i� TOTAL I <br />REMARKS: <br />� <br />� <br />..d <br />�; <br />