Laserfiche WebLink
. i <br /> A►PL. �)3 �I�/ CITY OF EVERETT BERVICE �, �-� �� �t <br /> No, Oi � ORGER NO. - � �� i- <br /> APPLICATION FOR WATEP SERVICE � ��j �p�� <br /> � FIXED OO DATECr.�'� • �/---1ig�L <br /> '/ � W.O. <br /> � DE�061T �TQ� No._.- __---- ' <br /> — �7 �, o <br /> �j ��l� � .�-. <br /> BERVIC! (�v� e'cn� a��� >+ �=BLN..�L0T.4S__AW'�-f-�t� � <br /> f'� � m <br /> OWN[ "�"1;!-�- ----CONTRAC70R ----.--- <br /> Ir <br /> INBTALL�''�- ERED BERVICE---.----- -� ��� � '� <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � '-� '-'� <br /> ORDINANCES AND POLICIES OF THE WATER DEPAqTMEN7 NOW EXISTING ��y�Q.L N m <br /> OR AS S�ME MAY BE HEREAFTER CHAHGED. acw[n: -- p <br /> -. c v <br /> _. ,.. __"" MAT[RI�LB _ W IN. I IN. � Y IN. I PNIC[ AMOUNT m O <br /> / -1 C. <br /> `�IPE f 'I�'.S,r. � / COPPER.. GALV._- aTEEL _ iC� �_� - pZ <br /> CORPORATION � �.j(IQ�� ___ � _ _ . _ m .� <br /> ruRe cocK o7 / I _ _ ,o = <br /> SERVICE BOX �A�,13T:C •- C I_ I I . C <br /> n -i <br /> r x <br /> METER VAWE ___ ___ � tn <br /> _._ _____.-__ -_ __—__ -- __ < <br /> METER No. TYPE: I 1f '� <br /> ___ _ __- __—__. ._— <br /> — ---------- ----- � a <br /> METER BUX CONCRETE SMALL LARGE _ _ _ _ ____ � m <br /> �� lAQ/�`� 1' ��P/\d --_— � _I— _— — ri .-. <br /> � <br /> �' , �--I —� ---- -- --- � m <br /> {'�j� F�� iUi►� - � - --- - � �, <br /> I m � <br /> ��� � �� 5 T00 Gttl".14f1'Yd}I1 ' — — r � <br /> —I -i r <br /> • m <br /> - - --- ------ —i-- —_ — n <br /> A <br /> I � <br /> ON = <br /> SUB TOTAL n <br /> DATE INBTALLED: ,j ^ � - �4 ' OFF = <br /> COO[ � L�BOp �NO EOJIPMENfRENTAL /�MOUR• RATE � <br /> Y U(`` � <br /> I J. J �� I -`)���v — N <br /> I —___"-__ . . ...___---"_.. �� /•I�:����—"I� —_"__ � <br /> — — ��/ 11 --" � <br /> I � �-��-�-'-`--- I t� m <br /> -- ------ �----� --- <br /> — - - ---' -_ . . _ .— <br /> � ��'L� �f l --1�3�n�—��> �, <br /> - - - - - - -- <br /> — ---- - - ,� <br /> I ---_ - _ �_�' > ' ��' _ - <br /> -- - - - - <br /> I � <br /> _ _ . - ------'-- --- --- --- - <br /> - I � <br /> TOTAL <br /> REMARK9: <br />