Laserfiche WebLink
� I i°A 7i� <br />APP ,, � u <br />No. <br />�� FIXFD <br />� DEPOSIT g � <br />/���. _ <br />APPLICATIOIJ FOR SERVICE <br />C17Y OF EVER�TT WATER DEPT. <br />SERVICE N� '� II � � <br />ORDER <br />DATE__�j,( C��(____I9�-3 <br />W. O. <br />/� �7 NO.___ __ <br />SE.RVICEIdYApOREU6)-�J✓L� ��'G���L�_�U� �LK.__—LOT_. --�� <br />OWNER��In_�2[-�%L..___(�R t r �.f I _ <br />3 /�,� – ---CONTRACTOR______ <br />INSTqLL��_METERED SERVICE_____.___ __ <br />I HEREBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE WITH Tf1E <br />ORDINA�CES AND POLICI[S OF THE WA7ER DEPARTFIENT <br />OR AS SAME MAY dE HEREAFTER CHANGED. NOW E%ISTING /`� <br />�.__ 31GNEb: X_� �.52_� <br />MATENil.LO �� �� <br />I� IN. � 1 IN. I 2 iu. 1 . � <br />P�PE COP=ER - GALV. •• STEEL <br />CORPORATION -- <br />CU'73 GOCK OT <br />SERV7CE BOX PLAS7IG -. C I <br />METER VALVE <br />METER No___�j�J �j� _ --, TYPE:��e ��l_p` <br />METER BOX CONCRETE MALLJ LARGE <br />-- i'n/'�L� n ^ /d % • .i <br />DATE INSTALLEU: <br />CODE I <br />L' <br />I � ON <br />� � GFF <br />LABOR AND EQUIPtAENf RENTAL <br />� 7 .. <br />��Ae,C_._i/L�� —.r� 3i/l �— <br />— � � '�Sc7eQ..i��i,;,_,i--���3-- ---- <br />— <br />-- � Q�K �_� -- <br />__ __ _____._- ._ <br />—� ���Le,i, -�! <br />_ — --- -_ -- <br />--'1nc�f'�. �='— <br />I ��,� >f-� � 7 / ------ - __ <br />.r t/.'�F�– <br />PRICE ' �MOiNT <br />i <br />__ II I <br />i; __ <br />—_ � � <br />_ __ <br />B TOTAL <br />j HOURE <br />-- ------I J/��.,. <br />-- � <br /><^ .in< <br />FATE <br />----, I <br />__ II i <br />—, --; -- <br />-- � <br />_____ <br />TOTAL !� � <br />RCIAARICS: `��,. I __SE'RIII C.� �(J / r ,, <br />' _!x 1�S! _ . �. _ _ .1 _.fl��/�f.. ��"_% �.�. _ �S�.y.--_�E.�'i-- �L� . --- <br />(Tu P_� /8.�/_7 ) <br />