Laserfiche WebLink
p�,�,L /O� �LI APPLICATION FOR SfRVICE ORDECE yo �j $ <br /> / / <br /> No. � � CITY OF-Ej✓ERETT `+VATER DEPT. /.,� <br /> H' DATE_—_�IB�1- <br /> ��FI�U �� ����C'�r'Z'P���-' , <br /> ❑ C�� � W. O. <br /> � DEPOSIT s_ /L��__ ,['�/ / No.-------- <br /> -_ /(L� �✓j-_.______�'f/-BLK.__.-LOL_—_ADD.-- - <br /> SEFIVICE IBYADDHE981- --�-- <br /> ___.CONTRA TOR_.- — <br /> �WNER - .-______ /� ' <br /> N3t(J� FLAT . ��� ____._ /�[����/, ��iCPJ <br /> I1YZ7'rtLT _f�1C-� �) <br /> SERVICE_ . --`-�-�'--- —'-- <br /> I HEREBY APPLY FOR THE USE OF WAIER IN ACCORDANCE WITH THE n ���,' /� �t1.2p. ' <br /> ORDINANCES AND POLICIES OF THE WM1TER DEPARTHENT NOW E%ISTING e�cNeo: �� - - L ' <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> �,'� IN. I IN. � 2 1 .. I I PRICE ANOJNT—_ I <br /> MATERI�L9 ��/ ' <br /> rCOPPER«GAL�.-- �TEEL .j� I I- --',���I` <br /> PIPE _-l____ --- — - �;�� <br /> CURPORA710N ___— -- I -� <br /> CURB COCK OT . -- —I I— �I <br /> SERVICE BOX �ASTIC�•• C I __ I I �- --�I�J� <br />� — ✓�. I <br /> ___ <br /> _- <br /> _ _- —_ <br /> METER VAWE I <br /> — __ _.__—'__-'_'— <br /> _'_'__ '— <br /> -- -_._ <br /> ME7F_R No. <br /> TYPE: '� <br /> �_- �I I <br /> METER BOX CONCRETE SMALL LARGE _ _ -- I <br />� I _ J� �-- <br /> I I �� <br /> _ ' —I —1-- �I <br /> --'_-_ �. _'_____' II I�_ � - <br /> ._'_ �— - I I I � <br /> I Ll �N SUB TOTAL �,�J /�- <br /> DA7E INSTALLI=D:j ,� � .�� � �� OFF _—� <br /> _ I HOUP5 f1�TF <br /> CODE I LABOR AND EO�IPMENi IiENTAL � __ � <br /> � {1 L� �� �• '�' _ <br /> I(._.LL11c-1—_— _'___—_._'--_—'___ I ---{ I <br /> - —__ ___.—_�__s ..�-r _—_ I ` — � e�,�II I� <{ (J <br /> )�� /i <br /> '_yLLkJu}GJ ______'�--.— __—. �I-- — III ——I�—_. <br /> l <br /> -- --- - - <br /> --�--- --- <br /> ------ <br /> ---- -- -1 I <br /> _ - <br /> , _ _ _- <br /> ---- --- - -- <br /> ---- _ _. _ __ -- __ <br /> ._._. � - <br /> — I-- ----- -- -- Tora� � �i� <br /> - .-�- <br /> REMARKS: J�_�..� _ '_ :......�. . �_��_'_`_�__ . � <br /> _� � <br />