Laserfiche WebLink
r_- _ <br />( <br />�1 _ <br /> wrr�. ���a,e,� CITY OF EVERETT sr"•J�" N° 7 8 B � <br /> No. � OROER <br />. APPUCATION FOR WATER SE'R/VICE o�TE-JO_f¢�____te� <br /> FIXED "� /���0 <br /> aDEPOSITS�Q�� ?��. �OSTING I�'ZL"�5 No�� -- <br /> �ERVICE c�v wDoel�tlJS/'�- � a�0 � —BLK._ LOT J--ADD._ <br />� PL---�� l�i�- _ - CONTRACTOR____�L�L�- ,�C� <br /> OV/NE / <br /> INSTAL� � / METERED RVICE_. - -- --- -�� <br /> 1 HEREBY APPLY FOR THE lISE OF WATER IN ACCORDANCE WITH THE / //�U• �• /CV"'--'` <br /> ORDIN�NCES AND POLICIES OF THE W�TER DEP�RTMENT NOW E%ISTING 81GNED:/����5�%Le�Y_C^--� . <br /> OR AS SAME M11Y fiE HEREAFTER CXANGED. - ---" - - � - - - <br /> M�TERUL6 14 IN. 1 IN. �� 2 IN• � PRICE AMOUNT <br /> P�PE COPPER •- GALV.-- S7EEL _ __ I _I� . �__ <br /> CORPORATION _ I I,_I_ _ __ <br /> GURB COCK OT �--- ___ _� I I— ---- I --- <br /> � I <br /> SERVICE BOX PLASTIC •� C 1 _ .__ _ -- --- <br /> —_— - <br />' METER VAWE ___._ . _ _-- ..__. . _ __ ___ -___. ._ -. - _-.- <br /> METER No.1.����J 57O� TVPE:(UF�(1�N� I '�_I _ - - ---- � <br /> METER BOX CONCRE7E SMALL LARGE I I___ _I_I__ _____ - — <br /> i ----- -- --� -- i--�-li- <br /> -� --I- -- _ - <br /> I -I-- - - - <br /> ------- --, I�--�I-- - <br /> 1 - ---- <br /> --- -- -- --,--�---, i <br />� ��� SUB TOTAL <br /> � DATE INSTALLED:/��- �G ' Y S � CiFF <br /> ( / <br /> I L�BOF AND EOUIPMENfRENTA I HOURS RwTE <br /> COOE I <br /> I — — �—"___-_____—___� — <br /> I � __ <br /> _ - i— _ <br /> --- - ------- NO ACTION I -- --- <br /> Will be taken on srr.�^�� <br />� � – -_ —-- — --- — -- <br />� aPWica!ions witt:rn;', a j <br /> � -- --- Backflrnv-Prevenrt;n—�{�,�.� -- — <br /> — � TOTAL I <br /> REMARKS: ,��J���_ ____-_ - - -- <br /> -� <br /> �.:±e� 4..,1`Y'r�h`.Y«�r, ts . -:i'2 . . ,« . . . . � <br /> _ �' <br />