Laserfiche WebLink
2 D <br /> APP - 1 RETT SERVICE ORDER No. 3 8 2 3 <br /> NoTER SERVICE <br /> DAT[��- C- _--f01- <br /> L-] F ! yy <br /> L] D.,vo,. %O. <br /> SERVICE /BY ADDRIVIS) J <br /> �j 4j .t�JC,�' < Y✓ BLK.-_—LOT-L--ADqZ =�''"�� <br /> OWNER •�-�'�� CONTRACTOR- <br /> LA <br /> INSTAL,, 3 —CONTRACTOR- <br /> LA. <br /> 9ERVICE. <br /> . - — <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING 910NEm X - <br /> OR AS SAME MAY BE HEREAFTER CHANGED. - <br /> MATERIALS IN.L I IN. 2IN. PRICE AMOUNT <br /> PIPE ��d COPPER••GALV.-STEEL — <br /> CORPORATI <br /> — <br /> SERVICE BOX ASTI Cl - -- <br /> METER VALVE — <br /> METER No. TYPE: N — <br /> METER BOX CONCRETE SMALL LARGE __ — <br /> Cvff� <br /> -I - <br /> ON <br /> SUB TOTAL <br /> DATE INSTALLED: OFF <br /> CODE <br /> LABOR AND EOUIPMEN( RENTAL HOURti RATE <br /> TOTAL <br /> REMARKS: -~- <br />