Laserfiche WebLink
A'PP�-•, � 7S�(5~ APP:.ICA�.TION FOR SERVICE <br />No. <br />,-� -; ;�;- CITY OF E��ERETT WATER DEPT. <br />I� FIXED J�� -'. � <br />i 1 . ( . ; I r � � A �-• <br />� DEPO5IT S.'/_� (_�I - : � ---�-- �., <br />t= .� <br />� i <br />. 1, � n /. -'ti , / . <br />SERVICE�er�Qbneee�—_,_.:_J/��:��`/ ./���i_�_�__' _��'Ct_�%' 6LK.._—.—__LOT. <br />\_� .� t � / ' 7 <br />QWNER_ -1D� /�_G � ••'�.� . _ ___CONTRACTOR.. _ <br />II ! n!: P� ' ,J�/ FLAT � - ` + <br />1Ti6TAL�—� ._METERED SERVICE�._��L�ar'� _( .� ( ____`_'i.�� i<</['sC <br />i HEHE9Y APPLY FOR THE USE OF WATER IN ACCORD�NCE WITH THE �% <br />ORUINANCES AND POLIGES OF THE WATER DEPARTMEN7 NOW EXISTING '��«{ �, f <br />OR AS SAME MAY BE HEFlAFTER CHANGEO. slcNEo: _ __ <br />MATER1.1L9 �i IN. 1 IN. I 31N. <br />PIPE COPFER -- (iALV. •- STFcL � L— � <br />�7 I <br />.._ — "_".. . ..'___ 'Y— " ..:—__-� <br />CORPORATION I I <br />GUpO COCK _OT._ ______________� � �--_�_I <br />SERVICE BOX PLAS7IC -- C I I <br />ME7ER VAWE _ _ I —.__ _-___—__—____—._ _ / — _ _ <br />METER No�JC.G_��l�1«Z��ZL'-SS-fiS?YPEa�'9�LS�.�fe_I 3f_J_.____ _ _ _ _— <br />METER BO% CONCRETE SMA�LL LARGE <br />__..— ,.I —_ ._.' _ _— <br />f <br />I n/ON <br />UATE INSTALLC:D:, OFF <br />S - 5 L y ❑ <br />CODE I L�BOR ANO EpU1PMENfRENTAL <br />� � ,L" _p . "� <br />� --- -------- - <br />'- ---- --- <br />SFRVICE N� 9 2 3 <br />OR�EA <br />DAYE��'^�� � ��/ IB��L <br />\N. O. <br />No._ ___ __ <br />_',/,��� ' � / r <br />i � <br />" �-"s�-i- / <br />�r <br />—.-.—�_-_. _'_—_' <br />PRICE I AMOUNT <br />`-zO li /i/�, <br />—SUB 70TAL �� <br />HOURB qATE <br />�_ _-,. L', <br />, <br />-- �GC" I y � , ,., <br />��e�------------- - - ---- . _..-------�-- -.. _- - _ : - — — <br />� � I <br />� <br />---- --------- --- —.. -- -- --'- __. .- -- ---- <br />-- i-- -----_. . . _-- -------- .. _ . . . __ . .. .. . ..I.. _ �.-._ _ .I� --� - <br />---- ---- --- <br />TOTAL �J � J <br />'_._ y ' <br />RGMARNS: � : � i . . � 1... . . . , , , . . . , � i ; . r: . _ . _ . _ ..._ . <br />,f� �-LC�.� -((�� �!. ._�,:.. �r�...- .�,__ <br />