Laserfiche WebLink
NOPu� �[.;� `�! / CITV OF EVERETT sEnvice - I <br /> APPLICATION FOR WATER SERVICE oaDeR NO. <br /> � FIXED /-i� (�U! DATEL�LC1-yi,� 7 -_1p� <br /> � `/ <br /> DEP081T f•-�'/ W. O. <br /> ❑ __ _ No._ _ _ -____ n__' __ <br /> Q � q . � fL�f�j� <br /> 9ERVICE 1!Y ADOREl�1.�✓O ��. J/��• _ �l T�f-i��e_ .BLK. . .._L T�/ ._AD�. -K��� <br /> OWNE�._ _�T�EL�� - 'CONTIMCTOR __ - . _.. _.__ .. _ ._ . _ .___. .__ <br /> INSTALL�_"_�. TERED SER�g6l_- ___ .. ______. . . .__ __ __ _ _ _ _ .. -_._. _-_ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH TNE "//' ��� <br /> ORDIN�NCES AND POLICIES OF TNE W6TER OEP�qTMENT NOW EI(ISTING � Iq�� �f. <br /> OR AS SAME MAY BE HERE�FTEP. CMANGED. ncnco: % /f <br /> �� 1 IN. �i, 21 . `- PR� AMOUNT <br /> _I i <br /> PIPE M COPPER- GALV. -- STEEL 'N , , I <br /> -__. - ._._.�. _ . _ . .:.._.. <br /> CORPORATION . . .. . .. � i I � � ���� � �-�� — <br /> _—_. . _. _ .. __ _ _.. _.__._ ._.__-__— ____�_—____.. _l-._.._ ______ <br /> CURB COCK OT � ' I <br /> SERVICE BO% FLASTIC �- C I I � � <br /> METER VALVE . . . � � � -- -� ---_ .�.. <br /> .._ . ___._- �Z v_ ._ ___. ___. ._ . . _ <br /> -'_ _ ___ - <br /> METER No. � � �/ TVPE �Ji t� `� i� � <br /> _"-___.__ � __" __ _"- _ _. . _. . <br /> METER 60% CONCRETE SMALL LARGE __ —I = ___- <br /> � C <br /> I <br /> --- ---- -- _ _ _ <br /> --- � <br /> - - -- ------- - -- _�-- --! - - - <br /> , <br /> � � <br /> - __ _ _ _ - - --- _ -- <br /> i:7 °N <br /> DATEINSTALLEO�, . I � OFF SUB TOTAL <br /> COOE ', L�OOR ANpEOUIPMENfpEHTAL HOUR9 RATE <br /> - - _ -- � �--'`� - - - i <br /> _ _ - _ -- - - <br /> -- __ - __ C� 3 -- � - _ _ <br /> - _ _ ' __ - - <br /> ; <br /> , <br /> -- � <br /> TOTAL <br /> _ REMARKS: /i .�CII9�t'd I � 4�� C'0�11�'G. c/QY /�1�/N /(L� S��' ✓i�. f - �Il�/lt f' f7��(�i . (."._- <br /> i . [� : '� F 1- ' <br /> ,_-•C �;1 ,v '. �.J > �. . . <br /> _ ._--�- -- - �z:L _. . _ _ <br />