HomeMy WebLinkAboutCITY SERVICE APP - 04-00339 - 871 Widdison Ln - Water & Sewer LinesNAME
ADDRESS
APPLICATION FOR REXBURG CITY SERVICE
Cf�RDby
W/D0/SON Ly
Q68�
SEP 15 2004
PAID CASH $ —
PROPERTY OWNER
t�oio L CffRD�N
WATER RVICE:Size
Type
�O
�
Water Conned......
r10 In Cit Out of City
$ Y
Water Meter .......
$ k ;kG
Meter Boz .........
$ Storm Drains — $
Ring & Lid.........
$
Curb Stop .........
$ a1
Setter ..............
$ 3
Sewer Connect .....
TOTAL............
$�
$ 33ga APPROVED BY