Laserfiche WebLink
ppnl �c,/� APPLICATION FOR SERVICE SERVICE N° 3 S 3 <br /> N� �y �,.� ORDER <br /> CITY�OF EVERETT WATER DEPT. �j <br /> �-, FI%ED � � ) � �� DATE_.��_s�.cTL---19�Y <br /> I r <br /> �� DEPO5IT s��B .C�f� � �M"t. w. o. <br /> No._'_" .".-_'_-. --'_. <br /> 9ERVICE �av�ooncse�_. _ 1�.�« -��-�����1='�--�--BLK___--LOT____--ADD..-_--_ -- <br /> qWNER'_._____. .. . _-- _ ._ CONTRACTOR. - ------ <br /> . _ . __- __- . .. _ .. __ . <br /> ��..�,J.il/ y FLAT I ' i 1 <br /> INB�ALt�/�/.=MF�=D SERVICF_ - �� -. ���._-��:14.UI�ll� __._. _ __.._- ___._ _..._. <br /> I HENEBY APPLY FOR THE USE OF WIITER IN ACC017DANLE WITH 7HE � 7 �� , �J �� <br /> ONDINRNCES AND POLICIES OF TIIE WATER OEPAflTMENT NOW E%ISTING � /l�JHC <br /> OR AS SAME MAY BE NEflEAFTEF CHANGED. BICHe; X._:�-�� �"�-_-/ ----- �- <br /> �IITCRI�I.B !i IN. I IN. T IN. � � PRICE AMOUNT <br /> ..__ -. I l�.. <br /> p�pE OPI'F -- GALV.-- STFEL ��—� . �___ _. <br /> ----_- <br /> -�--- - - -_ ___ _-�-- �-- = �, � �.� <br /> �, <br /> CORPORATION -�-- - - <br /> '___' ._'-___.____.___'—__'_-___' - - <br /> CURB COCK OY� I 'i.. ����, <br /> _— '-�_____'.-„-__"__'-__ _ _I _' <br /> 6ERVICE DOX _ _ LPLASTIC _ C I_ _ , ___ __-._ I ! �l�= .-- <br /> METER VAWF. _..__-___ - -_-� __- i . ._� _.. .__ - -� - <br /> .._ __ .._ _ . _ __ . . ._ .. - � <br /> METERNo. TYPE: I '% � ___ __ � � -� <br /> __ . __. __-.__ .___ .. .._._ .___. _- _ . . .... ._ _... <br /> METER BO( � CONCRETE SMALL LRRGE _ I _ ___.__ _�___ <br /> '_ ___ ._ _ . ___ - _ _ _ - — � . <br /> � I � l- i..� <br /> ---- -- --- -- --- -� -i �-- ; -- - _ l-1 lL_ <br /> -- - -�--' <br /> i9 t�%' .. , <br /> ..,, <br /> - <br /> - - - - <br /> _ <br /> _ -- � - - <br /> - �, � . - -- - <br /> , . ---� - -- I <br /> - -- ---- <br /> - -- - - -- --- _ _ -- � -- <br /> - - i , _ <br /> m�ON <br /> DATE INSTAI-LED� �. ' � � I n ppp , SUB TOTAL �/� 3�I <br /> i <br /> cooe � L�9DR �ND EOUIPMENT FENT�L MOUP9 11HTE <br /> ------- �–�- – -- <br /> ..----�----- __ - �. � . <br /> ----- --------- . � <br /> '—_—, __— � "___....L_'_"_' _ <br /> _'_'_ , .___'_—_—_—_—___"_'—_—__'_— I i �I� ,I :��i._. <br /> --"— - y--__"" —_–..__—_—____ _ _ —'��I � <br /> ---'r--�---'------ ------- -- -, � --��,, I ___ <br /> TOTAL ' ✓F=�� <br /> ____.__ <br /> .. ____ _._.� _ _. _ .. . . <br /> _ _ . .. . .___- <br /> __'_ .. .. - __ -._ <br /> I _�'_' -'_' <br /> _'_ <br /> _. _. ..__ . ._ . _ . <br /> �i— _._ ' _ _ _ __ - ' _ - , �� <br /> REMARKS: . _. � �} <br />