Laserfiche WebLink
_ _ _ _ _ __ _ _ _ _____ _ ___ _ _ __ _ _ _ _ _ � __ _, <br /> � <br /> � <br /> I ' <br /> 2 � O D�„ BERVICE <br /> APPL' ^1 2(JO Z CITY OF EVERCTT ORDER NO. � � � <br /> No, e[ ✓ <br /> APPUCATION FOR WATER SERVICE �) � , <br /> DATE QGti-4_'._�.____-10� I <br /> � FI%ED � <br /> � DEP081T f /�,.Q J No��-- - ---- � <br /> d _ _____ <br /> ,. /.� /��J",I,��-�- <br /> �a � y�y' / -___a6I�76Mi��[fCCK-l-- <br /> SERVICE ��v onnn�7�" �- . // ,-,� --y �' -----.-BLK.-- _ --LOT. � <br /> OWNER_�__E��.�:2`=S/t��/�'""� �-._CnNTRACTOR. _-_'__ ._-. . _ .- ___._ ._-_. _. _- <br /> INSTALL_17_`-,l�-ME ERED SERVIC � � ------ - -- �-- -- -- -� -�- -"----�-�- <br /> .. . __.-___—__. <br /> 1 HEflFBY APPLY FOR THE USE OF WATER IN ACCOPDANCE WITH THE eicr+[o: XV���--K�/�-0�-�+-�_ . -. . .. . <br /> ONDINIINCES AND POLICIES OF THE W�TER DEPARTMENT NOW EXISTING <br /> OR AS S�ME M�Y BE HEREAFIER CHANGED. <br /> MATEf'IALR I Y� IN.I 1 �N. I 4 �N' ' I PAiC[ hMOUNT � <br /> l� I <br /> PIPE COPPER- GALV.--STEEL . I I __ i. ..-_—I _.-f_i . _ _____ _ <br /> CORPORATION __J � -----�-- --- <br /> ____. .___. ._- <br /> - _ - _--__._.. I <br /> CURB COCK O7 � - — ---- ---- --- <br /> ._'__ _ _ '___ —_ - .-__"_ _-��{{� <br /> SERVICE BO% PLASTIC •- C I _/ � ' � <br /> � - -. __._ - -- <br /> METER VALVE - � - � - --- �� --- --- <br /> _ _. ___ <br /> _—.--._' .. _ . .. . I , <br /> METER No. TYPE�. . + __ __ ---- --- <br /> METER BOX CONCRETE � SMALL LARGE i � �� / <br /> . ._ _ —__ _-- _ —_ <br /> _ _. . ,� -' I — —_ _- <br /> _ _._ . -_____. --' / <br /> _-__— ___._'-.' _____— -_ �� . G.� —.-_ '_ <br /> __ __"_ ' -T _ ' . _ -� <br /> I ___ S � _ <br /> � <br /> ..� _ <br /> . �_ -_ <br /> � � <br /> _______. <br /> __ ._. . . . . . I I _ ` J/ , ,. t <br /> � I <br /> .__ . ___ . . ._ . <br /> _____ ___ _. .____ _.. _._ . _ . <br /> ______ _ _ ._.. i � I <br /> �-� ON SUB TOTAL <br /> DATE INSTALLED: � OFF _ <br /> COD! ' LABOR �NO fOUIPMENf PENTAL I HOUR9 R�TE <br /> .__- _..� _.__.__-_ -_ _-_. <br /> __'_._____ ._"__-__-.___I <br /> � .__---- _-__ __ . --_ __.._. <br /> _ I <br /> --I- __- --- -�3.��/4 3 _ _ ��_. -- <br /> i _ - - - - <br /> -- - - _ <br /> --�- -- - --- - -- <br /> -_ _ _ _ __ _ <br /> � <br /> '� TOTAL <br /> REMARKe: _./i._. _ . .__ .. .. . . . . . _ .. __- __--•_ <br />