Laserfiche WebLink
SERVICE �O " " � <br /> Z OD?j� /�PP��CATION FOR SERVICE oROEe ,- <br /> "���' CIYY OF EVERETT WATER DEPT. pqr,��!�:�'� � �'�= <br /> No. <br /> -�'i : _ ' ' W.O. . <br /> � FIXED : L c7 No.---�7.�,(�, �i <br /> i, �' -- <br /> DEPO5IT S� / � L � <br /> � ) LOT ApD.�,�/ <br /> /��� �'J l�C(. /.�-� BLK. — �� �y11� <br /> 11 �'��+�i.Lf.�__ <br /> ADDRF98) \ ���<P. t !t-�/"� <br /> SER��CE tav / ��n � <br /> ��� <br /> OWNER�A� ,� <br /> ��y-�METERED SERVICE_— /7 ���� �{�/ <br /> INSTAL ' ACCORDANCE W�TN THE ,// p <br /> /� <br /> I HEREBY APPLY FOA THE USE OF WATER IN s��rvEo:X pR�CE AMOUNT <br /> ORDINANCES AND POLICIES OF 1HE WATER DEPARTMENT NOW EXISTING I I <br /> OR AS SAME MAY BE HEREAFTER LHANGED. y N , � ,-, z �q. � — <br /> I , <br /> MPTERIALS I�I <br /> --- COPPER-V�`LV'`STEEI. � <br /> PIPE �� <br /> I �� <br /> CORPORATION I I <br /> CURB�OT � � <br /> PLASTIC -- C � <br /> SERVICE 60X _ <br /> METER VALVE I y� — I <br /> TYPE�_----�- - — --_-- I <br /> METE��� SMALL LAftGE -I <br /> METER BOX CONCRETE � <br /> - I� <br /> � � <br /> _�i � _�- <br /> �I __ <br /> - I I I I <br /> � ON SUB TOTAL <br /> . /� �/_ � � I � OFF RPTE <br /> HOUNS <br /> ppTE1N5TALLED: <br /> LABOR ANO E0�11PMENT RENTAL -, i <br /> I �- I, <br /> CODE -�---'- �� � <br /> � �- <br /> �__I _—'�I <br /> ----- —- - <br /> —- -- i <br /> --_ ---- � � <br /> � �---- --_'-il - '_- <br /> -- -----------'� —J,�- I — <br /> � <br /> ----- _- —i I <br /> ��-- -_----- <br /> , _. _.— <br /> I�_— roTn <br /> � � -- <br /> ��� --_---� �� --- -- -- - <br /> . �� « i � ---- -. <br /> - <br /> . _- . _ ._.--�- <br /> �.-,..� ..� - _ . . � -- - <br /> --- - <br /> --——_ -- <br /> REMARKS: �___ __ _ _----- <br /> �- -- ___ . _ . .__-__ <br /> �l /.� v� l-�J_ ... .__-'___ - _-_- ... <br /> / L <br />