Laserfiche WebLink
1 <br /> I <br /> ^PP���� CITY OF �VERETT oa�ERE NO. � ' •� `- <br /> No. d- �'. �` ��r <br /> APP�ICATION FOR WATER SERVIi'E ��- ///���yy,��_��� �.i teL.fL <br /> DA✓E��' <br /> � FIXED p � <br /> �� W. O. <br /> � DEPOSIT � ) y No. -- <br /> SERVICE (eYwunREesl��-�7��-----CJ"`��-'�'--"""-�K'��LOT�A�D.�/�.LS(� — <br /> ili // <br /> OWNER��"�� ���'� —CONTRACTOR <br /> /// F �.�___�-� - <br /> INSTAL M ERED SERVICE_ � - <br /> I NEREBY APP� SE OF WA7ER IN ACCORDANCE WITi1 THE �`` , ( <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMEN7 NOW E%IS71NG BIGNEO: X .-�LLCG-7-G'-1'1GC=-`-`�/� ��-�-\--��� � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> MATERIALS S'i �N.�� � �N. � PA�CE AMOUNT <br /> �p�pg, _ COPPEH GALV.--STEEL . _ <br /> �' � <br /> CORPORATION / - <br /> CURB COCK OT _ II I <br /> SERVICE BOX r'LASTIC •- C � — —' <br /> METER VAWE ___. — / ----I---- -" — <br /> METER No. G��l __-- TYPE: t1.As�.-r-�--I ,f — / _ _— - ___ — <br /> METER BO%� C CNO RET���T�� SMALL LARGE _ ! _ _— � <br /> �_./y- '`-_� I <br /> — _3 I—I <br /> I <br /> I � - <br /> - -j��'i I <br /> I �' ON <br /> DATE INSTALLED: G-�G- /,;%' I� <br /> OFF SU9 TOTAL <br /> COOE � <br /> L�B�A AND EOUIPMENfRENTAL I HOURS _RATE <br /> ��I -__--___. ` / <br /> _ s�'T�"=--� <br /> —� ___�f)_� '�',--- -- <br /> � (� tr��1--_�-�-- --- <br /> — —�d_�� �`� �if s Gs�'_—�� - <br /> I — - - - _ -- �-- <br /> � _ - -- -- II — <br /> —� <br /> i <br /> _ TOTAL <br /> REMARKS: ____ _ ___------- — <br /> r. . . <br /> Y - <br />