Laserfiche WebLink
/Ob�.O SERVICE � � � L1� <br /> SPP� ��� � � APPLICATION FOR SERVICE ORDER N <br /> "�. CITY OF EVERETT WATER DEPT. <br /> DATE�i� �0-�= <br /> ty_.�' _'-_ <br /> � FI%ED W � <br /> r-ry DEPO5IT ;.�:�, _, r'_� ,'�.. : No .-�—__-___--- <br /> �� L . <br /> /� - � � <br /> SERVIGE (lY AODNG�1-y�-� � t� ���-- �'-----BLK.___.--LOL --ADD. <br /> .�/' ,r ,r� A� <br /> OWNER--�'��`---��1G:s�_-__-----_'____'.___. .CONTRACTOR . ..lL[Lzt_�G�z� — <br /> .. . f'tkY _—._----- <br /> _ ___ ___.._. <br /> INSULL •�--METERED SERVICE._.. - - - - - - ------ <br /> —.\-_ . _. � I i <br /> I HEPEBY APPLY FOR THE I15E OF WATER IN ACCORDANCE WITH THE \ =' �; � <br /> OR ASASAME M�Y 6E IH PEAFTER C ANGEUDEPARTMENT NOW E%ISTING s�aHco: %�f�C/.4. 6/`= � �----- <br /> 5'� IN. 11N. I11N. I PRICE AMOUNT <br /> M�TEN1�1.8 I I I I <br /> P�pg COPPER-• GALV.--STf_EL _ ____ -- --- <br /> -- �-a - -- �'' ' <br /> CORPORATION -------- -- I I I <br /> ____ — I <br /> GURB COCK OT _____'__- --' �-- --- � <br /> SERVICE BOX PLAS7IC -- C I ' --- --- <br /> —_ --_ — <br /> ___"_ <br /> ME7ER VAWE __. - ._____-�— � ---- ^ <br /> ..-_ ___-_'- ` . <br /> .___. _. ___ _ - � . S_ <br /> —_ }� q�� � , <br /> METER NO.�il/ __.�.��s�/�I��"TYPE:.3 T .__-_ _-_ __ — —_ — ____ --_ I <br /> METER BOX CONCRETE BMALL LARCiE � __ _ _ __ -._- --- <br /> / � ��/'i:ln <br /> /J(J 7 . /' l•I, � ' I !i ___ ____ __ __'_—_ ,. <br /> !� /� , �// ' �r:_'."_..__t'•��- i �IEh� <br /> 3�.- X. ��� � ��,--�s a�i�i. r.�. -�� � --- ' I -- �-�— <br /> -i c�_�–;�� .�i� � _ � �J_ – --�I—_�� <br /> r�• <br /> _�_-��.�� �— � —�-- <br /> ------- ——� <br /> -- — � -- -- - - - �-- - <br /> – ------- -------- -- —1—� — _ � <br /> I ❑ °" ///%; 5� <br /> OATE INSTALLED: <br /> � OFF SUB TOTAL <br /> LABOR �NO EQIJIFMEH!RENML � HOUR9 PATE <br /> CODE � I II � � . <br /> � _ <br /> - . <br /> ._ ._- '__-___._ ___ "_- , � <br /> _'___"_ _ _"."_-__-_ I . <br /> -------- --- �-�- -- -�'i--�-- <br /> - , _, <br /> � - -- - i <br /> — ----- -- --- � ; �� <br /> _ - ---- ---- ,- -- - —�,--- ._ <br /> , <br /> _ - --- <br /> -- <br /> - - - <br /> L—� <br /> � ___ _ _ _ - ; - - <br /> - �-- --- --- _ i <br /> �� TOTAL �I ������� <br /> __" <br /> REMARKS: �i� II ��INi ,1� •• S/ i /}r�/'/ �� �1���� .5 _ . . . _ . -_. _.___._ . <br /> -_ __.._ _. _ _ . _. ... _ . <br /> __ <br /> ��� �� � S <br /> ,er_�� fi.: s/ <br />