Laserfiche WebLink
I, <br /> i <br /> APPL�OI�� APPLICATION FOR SERVICE SERVICE (v° � 4 9 <br /> N� ORDER <br /> a��� CITY OF EVE�RETT WATEit DEPT. � �V/� //� / <br /> DAT /"� 19[l/ <br /> � FIXED �-�!J <br /> � DEPOSIT s �,7v. - NOO. - <br /> SERVICE (BY AGDREBB) ��-�G ��/ ��"�'�"��� ���BLK. LOT_�'_L-P.oD. <br /> � h.�.�. .�;- , J <br /> OWNER— . CONTRACTO � , � ' <br /> �� O � <br /> 'Y�bMf G�ln f[t�`,( .^� �IcJ <br /> INSTAL� �/� —METERED SERVIGE---- - <br /> I HEREBY APPLY FOR THE USE OF WA1'ER IN ACCORDANLE WITN THE �—�'� :�/ <br /> OPDIN�NCES AND POLILIF.3 OF THE WATER DEPARTMENT NOW EXISTING 61GNED: R � L r7�r`-"��'"�""�' -- <br /> � OR AS SAME MAY BE HEREAFTEP. CHANGED. — <br /> MATEfl1ALe � IN. 1 IN. � 2 IN. I PRICF. AMOUNT <br /> , PIPE �COPPER- GALV.•-S7EEL ,�� _I__I I� .S� I_�2 ��7 <br /> CORPORATION _ _L I II ✓II/� <br /> CURB COCK OT I II I_ <br /> SERVICE BQX PLASTIG -- C I _ I �I— <br /> � METER Y�,I..VE __ _ � __ _---- �A�IL�1 <br /> MET6n �iu, 7 � �YPE:'�1.,*-C..c.t- I 46 — --" __ _-_ `J� ��:J <br /> _� L(�-1�1L�C'.L+-C � �{ <br /> � METER LOX CONCRETE `SMAi� LARGE _� _ __ _ II-1'-II�C - <br /> ��:� .r-..LI' I (�'C�� <br /> � _ I <br /> '- I �'i <br /> i <br /> — - I-- <br /> - -i - _l � <br /> - - � <br /> � i <br /> I � ON <br /> DATE INSTALLED: !� OFF / <br /> SUB TOTAL ��� <br /> _ � y �.. <br /> I LABOR AND EOUIPMENTRENTAL I HOUFS I_ RATE <br /> CODE I <br /> I '� ` L ' - ( ,-•Y^II —� <br /> �� � — � c' �(�����-� ' �- <br /> � :-�a. �f�. .i � — �� I <br /> I <br /> I - --- � �_�I� � ��_- <br /> _ �Ii�-� ` ------ - — I � I ' I I I— <br /> � �70T� /.�J I,,;;� <br /> .� <br /> REMARKS: _ __ _ ,____ — - <br /> — _-.- <br /> T cQ�F_.. -- ------------ —. <br />