HomeMy WebLinkAboutWORK ORDER - 04-00288 - 365 Eagle Ct - New SFRWORK ORDER
ACC# RT# PHONE !�'aD 71-C-1 EFFECTIVE DATE
NAME E Z) vLl C^_O¢ ' SERVICE ADDRESS
MAILING ADDRESS (e ����`,j, /�/ / (3 N
OWNER PHONE
ADDRESS
EMPLOYER OR RELATIVE
i
COMMENTS
SS#
S' >H 7SS6a
SIGNATURE _A�
❑ IN
❑ READ
❑ RENTING
❑ ON
❑ RE -READ
❑ BUYING
❑ OUT
❑ CHECK LEAK
❑ SELLING
❑ OFF
❑ WTR.SWR ONLY
❑ OWNER
❑ VACANT ❑ GR CONT #
❑ BL CONT #
METER SIZE
LOCATION _
COMPLETED BY
DATE
NO. OF PEOPLE
WORK PHONE
DEPOSIT AMOUNT
DATE PAID IN
REFUND DATE _
AMT. REFUNDED _
AMT. APP. BILL
GR RT# BIN SIZE NO. OF BINS M❑ T❑ 0 T❑ � s❑
ISSUED BY
❑ COMPUTER FILE