Laserfiche WebLink
� <br />SER'lICE ��a 6 6 4 0 <br />APPL. ��g�a �ppLICATT� OOR WARERTSERVICE ORL.�R <br />No. -,-77� �-j <br />DATF_--_'_ v� �-19_I-_ <br />� FIXED <br />w. U. <br />� DEPO5IT s � ? No.__----- -���y-�/�] <br />!"�!� �-/ / `', '`'�' <br />1 �}�/ . �-- BLK.._-LOT �� ADD.�- �/_�I��— -/ <br />SERVICE (B�Y A^ODRF_881 ���" <br />OWNER-L.4�-� ��� --CONTRAJTOR_ ----"-- <br />INSTAL�METERED SERVICE- �G- ����-- <br />OROINANL SPAND ?�OR IC ES OFE7HE W�TER DEPARTMENT NOWWE% STING �/O��.�/ �. <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />BIGNED:X .��—`--�------.—_-'__ __ _ .-".'- <br />MATERIALS I <br />}i IN. � 1 IN. � 2 IN. � PRICE AMOUNT <br />COPPER -- GALV. -- STEEL _ ����I__-I--- ---{ — <br />pIPE <br />CORPnRATION <br />CCRB GOCK <br />SERV�GE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLAS7IC -- C I <br />_ <br />___ _____ __"-TYPE: I `S <br />__- .....—____ <br />_-..- -. <br />CONCRETE _SMALL LARGE <br />s--- I ON <br />DATE INSTALLED: �, ��ip '�O I] FF <br />CODE �� LABOR ANO EOUIPMENfPENfAL <br />� � � 7�0�� - --- <br />pc <br />,�_�; ; So <br />I_ - _ I _. _. _ __. __ <br />� � <br />I_'_I'._- ' _ -- <br />__-, - __I__--_ <br />SUB TOTAL <br />HOURS� RATE <br />TOTAL <br />z <br />