Laserfiche WebLink
b :U L <br /> C H i <br /> N � <br /> � " I <br /> 1 <br /> N M � <br /> O ((Nq� lOppppppa Br.H VICI A' pO � (1 <br /> n • APPL. /JQ��� CITY OF RATE S oaDER IV° 0n J <br /> y No. LO APPLICATION FOR WATER SERVICE DATE—? <br /> D N ❑ DEPOSIT : / 50°- �e ��� / J�1 TO POSTING__V_/- - W.0. <br /> — <br /> SERVICE I[r ADBRueI -`'=-��-j—�''— SLK.._—LOT_LILADD. <br /> O <br /> �'(. r.O1rTRACTOR-- - --- --- <br /> OWNf <br /> INSTAL <br /> I HEREBY APPLY FO*THE 40FWATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMERT NOW EXISTING uONED: X <br /> OR AS SAME MAY BE HEREAFTER CHANGED <br /> MATERIALS lV IN, It , AIN. PRICE AMOUNT <br /> PIPE COPPER--GALV.•_STEEL <br /> CORPORATION _- -- ---' ---- <br /> CURB COCK OT <br /> SERVICE BOX _- -PLASTIC ---- <br /> (/ METER VALVE <br /> METER NO. TYPE <br /> 1 <br /> METER BOX CONCRETE SMAI I. I-ARCS -_-. — -- <br /> low <br /> •Ift� <br /> ROME <br /> _ <br /> S' ,/ OFF Sue TOTAL� DATE INSTALLED: _ _ <br /> �1•Rr�1 <br /> COO[ LABOR AND EOUIPMENI 111INTAL ��ouR3 HATE <br /> � _ <br /> - <br /> TOTAL <br /> REMARKS: <br />