HomeMy WebLinkAboutAPPLICATION - 04-00412 - 417 S 12th W - Sewer LineAPPLICATION FOR REXBURG CITY SERVICE
PLUMBER
PROPERTY OWNER
r WATER SERVICE: Type Size
Water Connect......
$
Water Meter .......
$
Meter Boz .........
$
Ring 8 Lid.........
$
Curb Stop .........$
Setter ..............
$
Sewer Connect .....
_
$Jc1) -7._,�
TOTAL............
$ /c)7. O
i
In City Out of City
Storm Drains — $
APPROVED BY