Laserfiche WebLink
kPPL. � /��O/ APi�LICA710N FOR SERVICE SERVICE N° $ 6 2 <br /> No. ORD <br /> ���„�-.� CITY O�VERETT WATER DEPT. -- � <br /> � onr �I�L-�/�� _ ��� <br /> � FIXED � <br /> �1 ,,, i �c� 4:1_.«_Li <br /> � DEPOBIT S,_'(.-n �.�Lt�%Y/ N O. <br /> V� / �, <br /> SERVICE (erwDORess) ��G-3 C�-"f7tij7'u=GL'�t e'��' BLK. LOT ADD. _ <br /> 011 V N ER_ CONTRACTOR <br /> J.C9LC[C� ��� � FLAT <br /> INSTAL� � � F,tliEitEB SERVICE _ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANLE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARiMENT NGW EXISTING �7� �-�,U -t'a �f__� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. BlcNeo: X • F"."�"'�:1�� - ��_ <br /> MATERIALS �ii IN. 1 IN. I 2 IH. � I I PRICE AMOUIJT <br /> PIPE COPPER-GALV.-STEEL `�v� I _ I_ , 53 <f,�ILfQ <br /> CORPORATION I � _�I .31�2 <br /> CURB COCK OT I I I��� <br /> SERVICE BOX PLASTIC •• C 1 I ���7 <br /> METER VALVE <br /> METER No. TYPE: I 4fi <br /> METER BOX CONCRETE SMALL LARGE I <br /> � � ,^ , _ <br /> " -I- 12 <br /> z 3/ �'� t�� � <br /> �� � f _I � --f--�� <br /> '+.i =� — -� �� :��� ;i �i 3 <br /> I I <br /> � ��I <br /> i I <br /> �ON <br /> DATE INSTALLED: � } C-' � �FF -`�- ,�i 1 SUB TOTAL 5��'^ <br /> _._J t�. <br /> CODE � � LABO AND EQUIPMENT RENTAL M011FS I1ATE <br /> � - � �'`. --�� � ' I� � . <br /> � p �p ��_ ' �� � •� � �%� <br /> ;� -z__ I_� � `:�II �I I G� <br /> i L- i'� I <br /> ---I - �- --�! �- <br /> / TOTAL ��� <br /> �. � / / � / � /_ � 1 '� ../, . <br /> REMARKS: _� G � �r � ' �` � _ ' ;1 � r.��r'I �I f- �) t�.� ( t .,_�—_ J .J ,_. <br /> ' S <br />