Laserfiche WebLink
City of EvereM—Water Dept. <br />TURN oN oRoee � ' � ►�;�, � 51613 <br />7'AP Nn.:�:._ .... _.:.. .... <br />__.._ _ . � � .. �._.. . _ _.__........__._106.. �.... <br />Subjcrl tn pnur rc ulnr rules end regWaUons, plense lurn on thc wntcr <br />� . ,�� . , r .., <br />m.... � ! . _......_..__...._.__......__.........._..........._.... SIreM <br />. _........... _ _ .............. ... _ _..... . ................... .. <br />L;�sl tennnl wn ............. _...................._......... Owncr or A�enl is................................................ <br />Wnler rntes will bc paid by....._._..._....,,,..........� '� <br />. . ..:.._.._ . ..................................................... . <br />. , , <br />Signed...._. ....1. �._L......., ..e.5.:. c. _'..,�. '...!:.�.-..,, :........................................ <br />•_=—= .__'_ � __— �` � -- -----_--- <br />CASIIIER'S RECORD .iAbovr npplicntion is npproved <br />..-. <br />Remnrks ....�.�• ..............r�.�......��.....:� <br />. . ..... _... <br />'_cn c.._._......Amount Duc S .. . ............ <br />. <br />� � .:'...t L ..... / (� � ....... <br />'C;�p No. .. _._.Amnunt Dui $ .. .. _ .... j � <br />, � I I �ticd u•nte� �l . . . ... _ . .1'np Ivo .... . . <br />� 1 <br />. __. ._.i ...L.... � ._.Cnshicr i. . . .. . . . . . _ Suprrintendrnl <br />— —__ _-_ — ._ -_ . —, __—_-. .. .__. . . . ., __..- <br />INSPECTOR'S I:tiCOHD � <br />fnspected nnd turn,d on.._ __.__._._.._.._..._.. IOIi_ . <br />Class of I3uildin�t_ _.._.... . ._........_ _ ...._._ ... . . . .... _ .. ._...._ . <br />Locatiun slop �md wnslc_....._ ........... ...._...__.._. .... ............. __..........._ _._..._. <br />R'ntcr closcl, priv��c or publie__.._ .............._... .. __. 8nth lubs. privntc nr puLlir <br />.. .. _ . . ............... ...._.....Urinnls ......_....._ ._. . Uutsidc hosc bibs.__... . ._ .. _. <br />1'Inin bibs_..__ .._____._ llnrbcr Chni�s Il�a��. s .__. .. Cou�s .. <br />f1. P. lloilers..._........ _..._.._....... Roums... \V;:tor Atolurs..__._._._............ <br />I'irc I'lugs_.__......____......_..__ ................ <br />Cl�,nrgc for w•alcr �egins nn ._ _... l�ii� <br />Rem��k� � .( � i � ,� .. � � . . !`..�C-C {..� :.............. <br />_. . .... ... ......... . . ,� . ..r. � . ........................ _ <br />_ .. ............................................................. __.. ............................................................_ <br />_ ........_ ..............................__......._.......... __. ............................................ <br />_ _. _ ......................_ _ . .............................. ... <br />. . . . .. .............._. ..........__.............Insper��,r <br />-__._._ _ -_— - <br />__ ___: . . . . __—__ <br />_— __ . <br />^CCOIIN'PINr �� � , <br />DEPAR'PRih:\`P Rnte_._.. t:nt�.i��J ................:..............106.. <br />8ieck... Lnl......... 7',i�, .':�� . ........................._..._._..... <br />'�'3.,5 __ ._....._.....__.... ... . , ,..} ................................__C�ishir� <br />