Laserfiche WebLink
2 �.:, .� �— sj I <br /> NOPL• 'z� t�G '� CITY Or �VERETT oRoeaE NO. � , <br /> APPLICATION FOR WATER SERVICE � j i/ -�G <br /> �,7. 'FI%ED E�� DATE_�� 19 � <br /> 1 ,, -�� W.O. <br /> � DEPOSIT s CY��� :Vo._— _ — <br /> BERVICE (eV ADDREes) ��`���"V � � � � BLK._ LOT— -� ADD.1i�x"��Z� <br /> OWNER`--���•�4'y-��Ntt,_-CL`.��—�—�-r� CONTRAC70R_ -- <br /> LA <br /> INSTALL�— RED SERVICE—.----- --- — <br /> I HERE9Y APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � i---- <br /> ORDINANCES l.ND POLICIES OF THE WATER DEPARTMENT NOW EXISTING ��.�1 <br /> OR AS SAME MAY BE MEREAFTER CHANGED. xicH[o: X — . - - — � � <br /> M�iER1�l6 w' IN. 1 IN. � 2 IN. I � �Pp��E AMOUNT <br /> PIPE COPPE:R•_GALV.-•S7EFL _I _�� <br /> CORPORATIC,J .- <br /> CURB COCK OT I - — <br /> SERVICE BOX LA;i71C_C 1 _ I ��_ _ . <br /> METER VALVE _.-I ___ _ — <br /> _ __ _. _— I -- --- � <br /> METER No. 7YPE: ___ �_K _ _ _ <br /> METER BOX CONCRETE SMALL LARGE I___ <br /> __ _ __-__. ——I — <br /> _ " _ _'—I �' __ <br /> I <br /> � — —_ '— <br /> i —'___ —_---_.I — --_ _ <br /> __ —" I �—^I <br /> r„�ON <br /> DATE INSTALLED: �// . '7 G � OFF i le� SUB TO7AL <br /> Lo / O 6! <br /> COOE � LAOOR AND EOUIPMEI:T NENTAL / I MOIIRS HATE <br /> I -- -- — ------��ffidPl/_I _.5� — <br /> —� -- _-- — - <br /> --'I - ----- ----- -�Q'S-L _T_- � -5-- — — -- <br /> _� C�-Cr 4— �i <br /> � �- -��-- �'ao �-�_ s <br /> ---- --- - - - -- --- � <br /> _ --- _.: - <br /> ' - - - - -- - - � - <br /> — ---- - - - - -- i <br /> , <br /> -� TOTAL • <br /> REMARKS: �-{U4'/� I � f , ; t .l'! (�__L� !__._ � . <br /> �__ iC .: -- . __— ___— _ � <br /> --- -- — . ; f— <br />