Laserfiche WebLink
, <br /> ss�t_:,� , . _ ,. . , <br /> •.�/��.... <br /> �I � �13.a'��f�`ti .. <br /> r4S3 <br /> £� .'Y�c <br /> _ . . ,.. �t itF .�tT .r . . <br /> . ' ���� . � � � <br /> NOP�� a� I I � CITY OF EVERETT «RVIGE <br /> '�RDER <br /> APPLICATION FOR WAT[R SERVICE � <br /> � FI%ED DATE__�"o��p� <br /> _ � DEP081T f � � W.O. <br /> No. <br /> ' �,�__C1�uz�-___ <br /> SERVIGEf�r�oon[a�1— BLK.. LOT ADD. <br /> OWNE -^ !C � _GONTRAGTOR�L-�21� <br /> K F �� <br /> INSTALL_I MEIE E �SQ ERVIG _ ��� <br /> I HEREBY �PPLY FOR THE USE OF WA7ER IN ACCORDANCE WITH THE <br /> ORDINANCCS AND POLICIES OF THE WATER DEPAHTMENT NON' E%ISTING I ' �-7 <br /> OR AS SAME MAY BE HEREAFTER CHANGEU. e�cHco: X _ __ _________.__� �.F�—,_� <br /> _ M�TERIqL6 V� IN. 1 IN. � 3 IN. �7 � pRICE �MOUNT <br /> PIPE Li9�T/�� L —' — � . <br /> / <br /> GORPORATION �,Q(J��E Tf�.Q�� � <br /> R.� �'�/�,s�-T,s� ,�/2� j; � --� — <br /> SERVICE BOX PLASTIC -- C I I <br /> METER VALVE /r <br /> METER No. _ Q�O -_- TYPE:����-�L./S�L�,� — —_---_ _— -- __.—__ <br /> -. -. __._ _ _—_—_' _____ - <br /> METER BOX LOMGRE'fi��� ql si�,E <br /> 1� 6,e � ,�- - --� —�.— -- <br /> ,���s- � ,v� --- � I <br /> r� — — <br /> � i�o:��-- — - �� <br /> � � ,�� .2-7 I I � <br /> ,m�'" ,��� '9 --� --- — --- <br /> .,� � ���� �r f� . ��n���,,,""" � I I i ! — <br /> �� DATE INSTALLED: � -�3_ I �oFF SUB TOTAL <br /> COOE � �AOOq ANDEqUIPMENtPENTAL � HOl1p5 RAT[ <br /> � //�� <br /> I �—._ ' _____"_ _ —I_ '_ <br /> I <br /> _ _ �2i.3 s .�- � -- -- <br /> - ---- 3�Z�""-- <br /> , � — — <br /> _ --- -- — -- -- -- —I-- <br /> _ �- - ---�--- — <br /> TOTAL <br /> REMARKS: <br />