Laserfiche WebLink
APP�-• P O'V 3 APPLICATION FOR SERVICE 514RVICE j�° H H 4 <br />No, ORDER <br />�,� r, CITY OF EVEtfETT WATER DEPT. 7 � <br />�9 - � <br />FIXED DAY� �'�.i..' ,�'� � _1� <br />� ; � <br />� DEPOSITs <f� �� W.O. <br />._.___-___._— l Nb.. <br />_—__'_'_ <br />�� � <br />., � . i ?..� !' -�' , <br />SERVICE�ereooncee�___/�.�(__'�-..�_J__. / ._____pLK. �LOT_�_�_ADbY�l�� niv.. <br />_ . _—._____ _� 7— _— <br />OWNER____--__________— _—_________CONTRACTOR'c_:; I O���: . Ld' r��./�,._ <br />���j ' FLY.T �� -- — <br />INSTALL—�—METERED SERVICE—_____._ <br />I HEREBY APPLY FOR iHE USE OF WATER IN ACCORDANCE WITH THE � L�/ � %-7 <br />ORDINANCES AND POLICIES OF THE WATER DCPARTMENT NOW E%ISTING 1 � /� / � <br />OR AS SAME MAY BE HEREAFTER CHANGED. elGNeo: X._-�-' _[...r./i..,c____L-L �� �`� - <br />-t _...{' _ _ <br />MATERIAL6 I�'i �N.. � 1 IN. � S IN. I . I PRICE AMOU <br />F'�PE CO!'PE GALV. -- ETEEL <br />CORPORATION_.______�__ _,__ -'— _ , _— <br />CURB COCK __ OT _ _ _ _ <br />9ERVICE 80% FLASTIC -- C I <br />METER VALVE —_ ----� —_���_—_�—_---�--- <br />METER NO.�LI� /Z -YCb 7�� QSTYPE �'��__ �.�J._ <br />METER BOX CONCRETE �,�p-aV � SMALL LARGE _ <br />�. r � <br />DATE INSTALLED: <br />��7�f^C <br />cooe ! <br />I . <br />--, _____..____"-" <br />-'__�_j.Q%dt� ___-__ <br />- __ __. - <br />_ _ �� '�'"� --- <br />; -� ' <br />REMARhS: i . „ <br />L . <br />> : ' � i, i <br />�� <br />f_1 0" <br />LABOR ANO EOUIPMENT f1ENTAL <br />SU9 TOTAL !�j. �� <br />HOVRB RATE <br />� I <br />.. . ____ .__ �_— _..-'-__"___ ���_. <br />I I I <br />-____-_ _""__ "__- <br />I 1 j �., <br />- --- -- -- -1 , ; <br />_ _ _ _ _-- - <br />_. � � <br />-----i - _ _ � - <br />-- --- - - -_ _- <br />_ ___ _ -- - -- <br />--- --- <br />-_ _ � r ; <br />.., �,���� ( f ��, .: � � 'i " <br />TOTAL �� - �?.�J <br />I <br />� <br />� <br />