Laserfiche WebLink
2G 30� <br /> APP�:' r � APPUCATIO�� FOR SERVICE SERVICE j�° 9 5 2 <br /> No, oane <br /> �r`�,;� CITY OF EVEFETT WATLR �E�7. � � ��✓ , <br /> ;7/r �•yJ —!- /`� DA.Tc /�.-G , 1�-'�f_ <br />+ RX FIXE� �Z:��l�.�"L:'[} `/%�L'(.r..'L�..��-t-...'/�" ��_—.�_ <br /> � <br /> C DEPOSIT S .lh � liL�-,�c'_.-�f,c.rt��. N)�� .—_— <br /> �c j�� / o.e�`�•� _ c`��^ <br /> SERVICE lur aooness1l� ��'�����LK.__—Li�T__—ADD._ <br /> / <br /> OWNER;3 _—_—GONTRACTOR _ _-- <br /> � / <br /> 1 /� _ �_ <br /> INSTAL� ' �,• a1�RE� SERVICE��l;i.�/i;<L1�1 (1_l.t'1'�C� �u=vY ��-le, L.�_ ' LG� _ <br /> I HEFEBY APPLY FOR THE USE OF WATER IN ACCORDANCE 'NITH THE Cj"��;t� � � .a- <br /> ORDINANCES AND POLICIES OF•1'HE WA7EF DEPARTMENT N01'1 EXISTING �� (_1-�,; ,��,p_,� � <br /> Jk AS SAME MAY BE HERF.AFTER CHANGED. sicNeo: X ----- <br /> NqTER1AL5 °N IN.I i IN. � 2 IN. _� I PRICE �MOUNT <br /> — 7—� LL''�/ 'L <br /> ,��pE _ rOPPh" •- GAW.--STEEL � ��_ �_'�j �-�F-'.� <br /> CORPOR.4TION �� _ �I �/�. <br /> CURD COCK OT I I! I _ <br /> SERVIC6 BOX PLASTIG C I I _�_ _ I 2_I_ <br /> ME7ER VALVE __ � +� /�_. <br /> —' _— __ �i <br /> METER No. _ Tl'PE: I 34 _�___J _ <br /> McTER BOX CONCRETE SMALL '_AF.GE I I <br /> _�,G, —' I— — ' �_ ==��UL_L— <br /> i I � <br /> _ —� — --{�—�— <br /> -- ---I�—I—I I— <br /> n �N � f <br /> DATE WSTALLED: }� �.. I �OFF ��� SUB TOTAL �� � <br /> .J '�, --(�- <br /> CODE � LA90R AN�[qIIIPAIENT RENTp1 I HOURS PAT[ <br /> I T("�„ — �—.�._ .� , _, /°. _ �,. <br /> i I ��—�— <br /> �-- �c'C� _- — I �- -�'� � ; , — <br /> � I i � , <br /> I _ II I <br /> � _ <br /> ��`�----- ------ - � � II � � . .. <br /> I OTAL ,I, �� <br /> '��} � 7 - �/� -- / <br /> , � t <br /> REMARKS: v/� //v�-�- <-C_L�L�'-y+ ✓%:��F-t�f2 CX�GC_.� � �%Y � it �7C�� <br /> f _-- —� <br /> _"s'_ _' ... . .. . . <br />