HomeMy WebLinkAboutAPPLICATION - 04-00283 - 425 S 5th E - Water Line/MeterAPPLICATION FOR REXBURG CITY SERVICE
NAME kP �� j_tq5 ��
ADDRESS
-'13
PROPERTY
WATER SERVICE: Type Size
Water Connect...... $� I t)b�
Water Meter .......
Meter Box .........
$
Ring & lid .........
$
Curb Stop .........
$
Senor..............s
Sewer Connect .....
$
TOTAL ............
$
In City. Out of City
Storm Drains — $
WE
il� t
APPROVED
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