Laserfiche WebLink
No?�• a, (y �J (� CITY OF EVERFTT <br />APPLICNTION FOR WATER SERVICE <br />. - <br />SERVICE `�,. i <br />ORDER NO. ' �. <br />DATE--�I�-19� <br />� FIXED �„� �- � :� �5'� <br />� DEPOSIT �_�a _ No� <br />, , pn�i ('� -(/ I11�View �i�"�S <br />� SERVICE (er�7eneee)� lV 0_1—h�.1�—SC BLK_--LO7� —ADD. <br />OWNER�GO� —�---W�--�1�-�-�"�----CONTRACTOR�S?1'LI F <br />�� FLAT� <br />INSTALL.���— '�RE� SERVIGE--- ------ -�— <br />I HEREBY APPLY FOR Tk4 I15E OF WA7'cR IN ACCOFDANCE WITH THE i —�� <br />ORDINANCES AND POLIQES OF 7HE WATER DEPARTME�T NOW EXIS7ING 61GNED: X�--�-��� ------ <br />OR AS SAME MAY BE HEREAF7ER CHANGE:�. <br />MATERIALS I Y� �N� I � �N. I 2 IY. I I � I P�CE II AMOUNT <br />r <br />PIPE <br />CORPORATION <br />GURE r:OCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />COPPER -- GALV. -- STEEL <br />OT <br />PLASTIG -- C I <br />TYPE: I `* <br />CONCR�3TE� SMALL LARGE <br />DATEINSTALLED: <br />GOOE <br />Mf` ON <br />t\ <br />G�,�,o-�L ❑ oFF <br />LABOR AND EQUIPMENf RENTAL <br />� -J � <br />! � � 5_7�%—Q � _ — � <br />i/ _ __ _I <br />-- — --- � <br />REMARK.i: <br />SUB TOTAL <br />HOlJfiS I NATE <br />TOTAL <br />