Laserfiche WebLink
� <br /> � <br /> HALH <br /> � :�7 � <br /> R� � x <br /> 4^ H <br /> bH (n <br /> y y <br /> �"� � r� <br /> Hz �. <br /> tC C] <br /> H �7 <br /> � xo <br /> M7 H '�J <br /> C/� H <br /> �� r <br /> �i o �i <br /> H C7 <br /> OH <br /> '.V O t7 <br /> H [T] O <br /> �Y (") <br /> � H � <br /> z <br /> r+ H <br /> g�' <br /> �� <br /> � e � <br /> � r � P�- , � 5��a�-��� N° 6 612 <br /> yyo` N.,. '�'�l�_-Z� CITY OF cVEREIT <br /> dPPLICAT10N FOH L^:nTeH SERVICL oaoea <br /> � FIXEO DATE.._. �1C_ _I��p/�� <br /> ❑ DEP091T s�[��' TO PO�TI��G _1_z8� o°_------- <br /> — <br /> -�/ �_/:�'�`�� /-���' !C1 � ��oL <br /> SERVICE IBY Ano Ee )__ � - _. K. ____ . __LOT.__.. _AD�._ <br /> OWNCR�t / ![��f._/ _ ���C�i����� �ONTRACTOR _ <br /> ' ___ <br /> ��� �_ <br /> INSTALL ` -- . dETER D SERVICE- . _ C � �.�Z :P __ _ . <br /> � _ . - _...__ ._'-- <br /> -__. <br /> I HERF.OY hPPLY FOR 711�5E- �TE ACCORUANCE WITH THE <br /> ORDINANCES AHb POVCIES OF THE W�1T DEPABTMEIII NnW eXISTING �/ <br /> OR AS SAME MAY PE M�REAFTER CHANGEO. eieNeo: X . ��f �V /C��"���� <br /> _. -___ . ___ ._ <br /> __'_ <br /> MMERIALS Si �ry,� 1 �N. 2 IN. � PqICE I AMOUNT <br /> �_�' � <br /> PIPE COPPER �� GAl V.- STEEL I I � <br /> —__.-__-_-'_—__.—_.-"_- ' .. _. ._I --__�I _ .. _. <br /> 'm' GORPORATION______'___"____-_-_'-'____ '_I_ _� _�__ ___� '__ _ . <br /> CURB COCK OT � � <br /> .-_--___.-__. '-_—_—_ <br /> I�' SERVICE OG% PLASTIG -- C I I I � <br /> __ <br /> __- _—_ . '__-._ i <br /> �v� METER VALVE .,_-- -'-� ' �'- --' <br /> MET dOX � _ . .—__ . _ ��_I-- _� .�_ I __ • <br /> METER No ��'�, �. _ � TVPE: �..��- �I i ' - <br /> ��O ER � CONCRETE SMALL LARGE �� � <br /> __" _ _-_ � I � <br /> . _ _..._- . _.._ . . _ ". '___'_--_- <br /> Ii . . _ . - ." _'_ <br /> � ' _-' -._ __'_ _ .. __ 'i- - <br /> __'_I— <br /> � ' t�:� A�Tr'uc�r _ � , _. — <br /> _ — --- ' — — <br /> �� F t�kPn or� scrn� _ —� —�-- � — - <br /> �' �I�^0 Qt�- r�Rl�i�— .--, i—� --I_ _. ._ __ ._._ <br /> 8P0 ., �!r.���� I —__ __ I_ � <br /> �� P �_�f��`v �f 7. .— _ � i �—__ _ _. <br /> —'--_—_— _.jr L il.c:i:. —' _ . . <br /> � � _. __. _� — .��..— ---- _ _.— - � ---- <br /> / � I � , — <br /> �j oH <br /> 1 DATEINSTALLEC). I OFF SUB TOTAL <br /> � i r� <br /> _' COOE � LAOOq AHDCOOIPMCN� IIENT/�L NOOqS HqT� <br /> C <br /> - �!'_�1���� _C'. -- --- _ _ � <br /> __ ---- --------- - -- - - <br /> �._' � <br /> ------- -- - <br /> — _ _— --- — <br /> s - -- ---- - --- - — � -- <br /> _ _ . _ ------ <br /> - - - ---- --- -- <br /> - - ------- --.—._.._..__ i <br /> -- -- - - --- — -- <br /> _ '- ---- ------ --------._ I <br /> - ----- --- - ___ --- <br /> __ . __ _ _ _ _ <br /> -- ' —, � _ - - — <br /> �" TOTAL <br /> RE MARKS: /_ /(,v�G��L_ _i r � ! "� �7 1/._.t�� . . . . . . . <br /> __ _ —__'_ �rt� - ___ <br />