HomeMy WebLinkAboutCITY SERVICE APP - 04-00311 - World GymAPPLICATION FOR REXBURG CITY SERVICE
NAME C> V— L 2
ADDRESS
PROPERTY OWNER cjLe3S E0 P64 r I r6 S
ti
WATER SERVICE: Type Size
Water Connect......
$
Wafer Meter .......
$
Meter Box .........
$
Ring 8 Lid .........$
Curb Stop .........
$
Setter ..............
$
Sewer Connect .....
$
TOTAL ............
$
In City Out of City
Storm Drains — $
APPROVED BY