Laserfiche WebLink
�` �� i <br /> '�PP APPUCATION FOR SERdICE SERVICE NO zz9Ei <br /> N�� � / ORDER ' <br /> CITY OF EVERETT WATER DEP'i'. ,. , <br /> � FIXFD DATE—i� _ __ _ _�g/�� � <br /> ❑ DEPOSIT /�� ����(� � � / �/ <br /> s-T�-- � %� /� �ra /FJ Y /j L"c: NOG�-_--_--__. <br /> � <br /> �.�._ � � : <br /> SERVICE �er�noacss�'1, ��i� "�� ^ �� _��`j{- ���___ BLK.___L07 eDO. <br /> n I <br /> OWNER ��L� Cf_f f,;.�����-_�� __CON7RACTOR <br /> FL►L_�- --_ <br /> � INSTA�L�� METERED SERVICE�-' - . ��_-- __'___.. __^_'___ <br /> I 1 HEREBY APPLY FOR THE USE O.` WATER IN hCCOF0+INCE WITH T��E � <br /> � PRDIN�NCES AHU POLICIES OF TME WATER DEPFNTMENT NOW E%ISTING <br /> OR Af. S�ME M�Y BE HE^E�FTER CHANGEO. s��qEp: X ___________ <br /> MATiRIAL5 � 4i IN., 1 IN. , 2 IN, <br /> I I ��'p��E AMOIINT <br /> P�P� _ _ COF'PER.- GALV.-STEEL I I I � 1 <br /> CORPORATION --�---�-----I—_ _�� <br /> 1 <br /> ' CURB COCK OT � � ' <br /> , _, I I <br /> � 5ERVICE BOX PLASTIC -• C I I I ` I <br /> ' METER VAWE � ; � -- — J <br /> f METER No. ---_. � _-.- � TYPE: -__ _.I sS _ - ._ __ _ _ __ <br /> I� <br /> r - .__._ _�_ ____ .—__ _ <br /> � METER BOX CONCRETE SMALL LARGE ' <br /> �JJL�� �r 5 h � �i_ -- — <br /> i 6 a e, � c� e �. <br /> � <br /> i /I�PH2UI�C � .Sr�"L'Cc� J S I i—_.- ____ <br /> I ��__ -- -- - --�- �-�- - <br /> (--- — -- —— -- - —— I I I � <br /> � - �-� ��-, - _ � <br /> c ,.�• � , , - - s � oN <br /> I �ATE "'^��" ^^: .,�� I �F SUB TOTAL <br /> ��� LABOR ANp EOUIPMENf RENTAL , <br /> NOUPS AATE <br /> L__ <br /> _'__-_.. _ _ <br /> II _. _. ._ __. _. _ _ _. . _ .__--__ ._.. _ _. i . . <br /> �I�-_ '-__- -_-_--_ _ __ -- . __ ._- _ -_. <br /> � � -�- -_ <br /> I I -I'_ ' - _ _ ___ _ __ <br /> II __ _ - _ <br /> '_-__-____ - _-_-- . _ . . _ " .--._ __ _ <br /> I� � ` -I -__ -.__ ' <br /> I TOTAL <br /> I REMARNS. <br /> �-' _ __ <br />