Laserfiche WebLink
i <br /> � <br /> '� <br /> � <br /> � APPL. SERVICE <br /> No. a G�0 � CITY OF EVERETT '� " c' <br /> APPLICATION FOR WATCR SERVICE ORDER NO. � C,' u �.; ,) z <br /> � FIXED a DATE �' AY _�g�"' O <br /> n DEPOSIT f OO �' W. O. m <br /> No._ <br /> 3FRVIGE f�r�o ��/-���� BL��_,�dT��� qD �j//4��✓' M � <br /> OWNE _/I -�'-G --CONTRACTORf`"'_�""".+.f�av-y�`�=�e��0_'—y'-✓ ��� N m <br /> O <br /> INSTAL TERED 8[RVECF��__ ,__ _ _ m O <br /> I HEREBY APPLY FOR THE IISE OF WATER IN ACCORDANCE WiTH THE / � ^ n <br /> ORDINANCES ANU POLICIES OF 7HE W11TER DEPANTMENT NOW EI(ISTING � / n 2 /, '/� O 3 <br /> OR AS SAME MAY BE HEREAFTER CHANGEO. •�cr+eo: X�C/H4�.aC` 7�/�.� �^ <br /> � z <br /> MIITEPIAL6 $ IN. � IN. I � �N• � I PA�CE ( AMOUNT f�i� <br /> PIPE Lrpl'_I� 6 qZ <br /> C <br /> CORPORATION _ � � ' n -� <br /> �-r. ._-. <br /> CURB COCK OT I — -� N <br /> -� <br /> —_ — —I — T <br /> SERVICE BOX PLASTIC -- C 1_. _ _ I O A <br /> — — � 3 <br /> METEH VALVE �) f -� m <br /> ME7ER NO. —L.l J ...— TYPE: _�_ S��I��4 _ —' m N <br /> � <br /> MET R BO% JlppC7ZETE �I MALL ARGE 0 m <br /> "_ ��" '�____ _� .—__ __ C N <br /> _/� ��--- - -- - --�-1-� -- - m �, <br /> � �— — --- -Zi r�-- <br /> 14�����/U�. ���� __ � � <br /> /.�, 7.5_:1�/3� �vrrN /'����. I - - - - � <br /> _ <br /> — - y <br /> z <br /> — ---- �I I - -- _ <br /> UATE INSTALLED� � �I���/_ I �FF �i� SU� TOfAL N <br /> OC �� <br /> coJE I O <br /> �_ L�BORAHpE0U:P1�ENtRENTAL NOUR9 RnTE � <br /> -�, '_ .� .. — - n <br /> . m <br /> --I — �-- �— 3�os _I _ -- <br /> ; - �� -Q � a��� -�-- ---- <br /> - -- � <br /> i -- - -- - -- �--- -- - <br /> — i <br /> TOTAL <br /> REMhRKS: <br /> —_ __—'_—_---'-___� . <br />