Laserfiche WebLink
�PP�. CITY OF �. !ERETT seRvice <br />No. ��� � � ORDER <br />APPLICATION FOR WATER SERVICE �`� N� 51 8 (3� <br />_ . DATE�/�+�� �18_6!� <br />� FIXED <br />'� DEPOSIT s rj � JWJ. O. <br />�d0'�il j�LN �3� SBr.i% <br />SERVIGE IBV AODNEB�I—QiIL�L���p�n��//�y BLK._--LOT--ADD.�r�� <br />OWNER� I � '( � � —CONTRACTOR_ JQ''"�� <br />INSTAL�� METERE� EHVICE– <br />I HEREBY APPLY FOR 7HE lISE OF N/ATER IN ACCGRDANCE WITH THE �� <br />OH ASASAME MAY BELIHF.REAF7 RH C ANGED DEPAR7MENT NOW E%ISTING BIGNEO: X� - �--��-- -- <br />MATERIALS � 1^1• � �N. � 2 IN. I I PA�CE �MOUNT <br />�i I�� <br />p�pE �h� � � COPPER -- GALV. — STEEL _ O � _I_�._,_ _ <br />CORPORATION � <br />CUNB COCK Ol' <br />SERVICE B4X <br />METER VALVE <br />METER �lo• ]/� 'j (, <br />DATEINSTALLED: <br />COOE I <br />REM.�RKS: <br />a1-l�ei-� l� li " O UV <br />I <br />PLASTIC •• C I I� <br />J= u - 7 p _-- — —.I <br />TYPE:P/'GSSIQJ✓_ I 'S __ <br />RETE I _�L SMALL LA77GE <br />T � a„��� � - <br />���L� --�-- <br />i•_�t'U��7 <br />7r I � OFF <br />b <br />L�BOR ANO EOUIPMEN�( RENTAL <br />SUB TOTAL <br />HOURS � RATE <br />� <br />TOTAL <br />