Laserfiche WebLink
APP ' ' <br />No.���� C Il 1' OF r\ cRCTT seHvic� <br />�roEW NO. <br />� , � : ISrt�: � Un �'. �.I I - i-� �iv�C� / o <br />� FIXE� DATSr'_ .. ��' I P� �i .1B �/ <br />� DEPOSIT g � � � `�� ' <br />W. O. <br />— No.__" <br />y� � �� � � J ` ��- <br />SERVICE (9Y AODRE98 �1 �- <br />)-�'Z'� :J �.c��Lc`./'`�--.�L-� 12-�BLK..- _-LOT�-AD0._ �� L"'Lt+! ' <br />I OWNER___'__.__�—_"__ _ ._ __.CONTRACTOR'________ � <br />j ' k 9Y� - <br />INSTAL��y METERED SERVIGE_ . � <br />__.. ..____.- _.____-.- .-.- � <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WRH THE '- '%(� / <br />OR�INANCES AN� POLIqES OF THE WATER DEPARTMEN7 NOW EXIS7ING � 1 f� ���i <br />OR AS SAME MAY 9E HEREAFTER CHANGE4 SlcNeo X-�z✓�_C �-� V� / �C�-_ �"�._ <br />l' l� <br />NATEPIALS I� IN.�� 1 Il�. I� 2 IN. � � , � �'/ pq�CE il AMOUNi <br />� P�PE l� � '-" �. COPPER -- GALV. -- STEEL � <br />CORAORATION �����-��--�� --_-��--�-�-��_--- -)( <br />CURB COCK OT `���� � r <br />SERVICE BOR ,'� PLAS�C`__C I _ ' <br />METER VALVE ��/ <br />_— _. _. . _ .. . _._ . . . ... - <br />METER NO TYPE� I '� <br />_. - _ _ . . -._ . __ _ <br />METER BOX CONCRETE SMALL LARGE <br />fil 07 _,� — -- � — �c <br />, � — �; t7— '� 'i -- <br />�:'.)' t�f I ���-�.� , J ,��� 1 , -- --i <br />� . A' � e' ��� )� �y � ' � � W�h O � � � <br />_- _. __ -I--I <br />_ .. _ . . _. ... _.�. .._..._. ._____ <br />, / � I j_� ON� <br />pATE INSTALLED: ��� ?�!� %��� �-� OFF <br />/r <br />COD[ <br />REMF.F21i5: <br />I.AHOq AND EQUIPMEN"f R[NTq1. <br />I <br />_ ___ . _ ...___"__ -. � , -./ . /..___. <br />. y�� � <br />---------- -��-�� 5r �T '' �. ' � � � --, <br />- -" -�-- <br />------- �--- -- - � ; � - �; -. <br />- --------- _---I� <br />—' � -- <br />�- ._ _ <br />I._- .__ L-��- I <br />SUB TOTAL <br />��� HOURS RAT[ <br />`� <br />._ �,�.. _ . __. <br />I__'�._ -_'"- <br />TOT�I� I <br />