Laserfiche WebLink
` 'APP'" Z�'t ZC� CITY OF EVERETT BERVIC6. Alo ') 2 Q 4 <br />. . � No. ORDER IV <br />APF'LICATION FOR WATER SERVICE /7 <br />� FI%ED T!J �OSTIIlI� __�1(3��— DATE�_J_�1G� <br />��, � .. W.O. <br />��=u` � DEP051T �_ p <br />/ <br />���,�� � BERVICEl�vwou�u�)�� � �rIJ � .{� BLK_ LOT_ <br />OWNER-- � CONTRAGTOR_ <br />F <br />INBTAL�_�� ETER SERVIGE— � �(� <br />I HEREBY APPLY FOR T SE OF W�TER IN ACCORDANCE WITf� THE <br />GPOINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br />OR AS S�YE :�AY 0E HERE�FTER CHANGED. eicr+eo:X -- <br />MAT[PIALf �4 IN. 1 IN. � 3 IN. � <br />p�pg ' '� L � COPPE • GALV. -• S7EEL � � <br />Cr�RPORw�ION <br />CURB COCK OT _I I� <br />SERVICE BOX PLA3TIr .. G I _ I <br />METER VAWE __ _ _ <br />�'�.YJ�S�! -! TVPE: __._'_I_�—_ _—_ —_ <br />METER BC%� GONCRETE SMAL> LARGE _ __ <br />� <br />DATE INSTALLEO: y� <br />COC[ � <br />REMARKS; <br />I � ON <br />� y / � OFF <br />/ <br />LABUp ANDEOUIPMENlRENTAL <br />�� <br />-�— ,-� _ <br />I._. I <br />� .... i � . . i.., <br />P� <br />a <br />PPICE II AMOUNT <br />SUB TOIAL <br />Noune � ri�rc <br />70TAL <br />