Laserfiche WebLink
qpp�„ � ?.oSD� " �APf-LICATION FOR SERVICE seR ic� N� � � � " <br /> No.r oR r.� <br /> �� ,,.. �,- � CITY OF EVERETT WATER DEPT. �, I � ;• ��� <br /> DnT�.�'-._-___-_19�— <br /> � FI%ED j � r� <br /> � ' i) /t' W r O. � � ='L-� / <br /> � DEPO8IT �!/,f �.C•__ No.___— S �_1—___"_ <br /> � �i . � i• <br /> 9ERVIGE BY ADORE88)-. r C�`'"� 'C� Ii_i{_ �.-,•__��___BLK._____LOT_ ._-ADD._ _- <br /> l� <br /> �]d-__ <br /> 7 � <br /> ' / 1 �) .�-- � <br /> �,( + ,( �/' �.iS�7'�tOG'' C�����L�=�C�C!'7vCONTRACTOR-;�'���1 �l �' T�/ T7 <br /> OWNER-y'C_�___-______._ ��.T-�. �i.. i <br /> . .. �,. �.�F ' � .J.rtr+:% <br /> INSTAL�—MGTERED SERVICE-_-- --- -f.=---�---� ---�--�,- �----- -- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACC�NDANC! �1'IfH THE '..1._-� �� /� �����,� �� ,t�,j <br /> ORDINANCES �ND POLICIES OF THE WA7ER DEPAPTMENT NOW °%ISTING �- /�' ' • , ep�- _ � � <br /> OR AS S�ME M�Y BE HENE�FTER CNIINGED. siarveu: 3ft -�z.,.��_�f-�Y,�--�---r- -- --- <br /> MATERI�LB _ 1G IN.I I IN. I 2 IN. ��"' � � � PPICI�: Q�'�'�Al10U`NT , <br /> � . � I v . <br /> PIPE �G I ��In COPPER•- GALV.-•STEEL. I �� � ' <br /> ____- .. . - —I. _ _'-__ _— <br /> CONPORATION �_- _____ --- _ ,— �- — I�� �I <br /> CURB COCK OT _ � __ - — � i <br /> SEitYi-�G g x _--_ PLASTIC .. C � —'— � ___ I�I`—/__- <br /> --� <br /> 1AETER VAWE ___ _—I --- <br /> __.. —I-- _ - <br /> 7 �J � <br /> METER No.SoZ/ . 4c�,i .: .'.•"' TYPE: 7/� ' -�-_�I ff �__ _-_ ____ -____ �G _��_ <br /> METER BOX GONCRE7E SMALL LARGE __ _ _____ __ <br /> - _ -- __ _ _I - -�-- - 1�-��;- <br /> / '.-y, �� ,-� c — -- — <br /> -� i • �i (/t la� . — — I _ I �,.�LI oF, <br /> �---- - `-- -- <br /> I �F� <br /> v,<.,..;=r - =- - - - <br /> � �� . . - �, , ��,�"��<<� --- - --� -- - -3i� 'z- <br /> — —�-- ---- -- I i /o V J y <br /> F k�_=i.�, ;r« ,.. __ ----- T - -- -- =- <br /> / :h � 7!�r� L'a/� r I I � -_I_- ._ g f .�1_ <br /> "� � ON <br /> DATE INSTALLFD: t - .ti � / �� I � aFF SUB TOTAL <br /> CODE � LAt�OR ANU EOUIPMENifiENT�L I NOUR9 NATE <br /> I ( _- _.____.I <br /> _ _...._.______ .____...-____-_ -_.-_--_-_ <br /> ____- _.___-_.-_.__ � �� I <br /> __". <br /> _-__'__-______—__-___________. -___— _-_ _"_--_,--_i . <br /> �____—_-II-_.- I _ <br /> _-".___ <br /> �____ -__-_--_"___-_- I I _-_ <br /> '_� __. —__ . � <br /> i <br /> I _ 1' <br /> __._.__.._...__�__ <br /> _""__-�_ " -__- <br /> '_ -_. _--__--_____ - _"_-_-1.--__ I <br /> ._-_L _ _ YO7AL ..._ _-___ <br /> �____. -'_-___"_-___ ___._ ._ <br /> . __-_ _'_ "___-'- I -_'___ I� <br /> ( . � I _.. _._'_�__' '__ <br /> REMARKS: ._ __ _ ..__ _-__ -___ . <br /> _. —__. _ . _._. _ _ _ _ _ _ .. _ _ . <br /> ..� ��..i'�..__'____ _ ..__ . _ . . . <br />