HomeMy WebLinkAbout1975-1978 (old permits)ADDRESS 1 ~2~ j4(ari ao~Dri ye LONE A-1B
OLD ADDRESS
DATE TYPE NATURE OF WORK OWNER
CONTRACTOR VALUATION
8-19-7
B ex Dose xit
attached Garage omas e c oxs
Carol Saxicki
Stanley Leach
33,000.
~ -~ ~ ~ , ~
7 ~ ~
~_ \1 ^
~
~ r--~ ~<
<~ i
F
METER(S) PERMIT
Date / //`'/ 7 7
Name of Owner e'
Address of Owner l ' ?. rY1 +4 C. 0
Meter Installed At
Meter (s) Size /4 -Adi ee ? oc R. I
as-
Meter (s) Use )(:) f1 ' !
1
t
tw biA4**ie C�,p 4 U i c-e
(Diagram of Use) P
lr
Meter will be installed and used according to the above
information,
rte; ?„f �✓ �.�
Owner or Agent
To Water Utility: Requirements have been met to purchase
and install meter (s) at the abo a address for size and use
indicated.
Plumbing Inspector