Laserfiche WebLink
� � 'i' ,:...:,., <br /> ay <br /> � y � ..�v � + sERvice No " 6 8 5 7 <br /> ��•P�- ,_�'��� ! Cil'Y OF EVERETT ORDER <br /> H � a N� APPLICATION FOR WATEH SEFVICE / _� ��� <br /> H ti H DATE__ L�J 18 <br /> �e y � � rixEo �/� <br /> i `4-.=��.- No�-__-'_-- <br /> � y H L-� DEPOSIT �,�__ , `y, j. <br /> `� O � SERVICE (BY AODPEY�)�j-�+-L/J-�J-� L�J-����--BLK._ WT_�ADD..�_-1��-�- <br /> O H � OWNER�����`-`-`"�-'❑--`� / (� CONiRACTOR --- --- <br /> "� O C7 FLAT �{- �7�190 ' � '-'-__'--_-__ <br /> H � � IN9TALL METERED SERVICE L� - - --- -- - <br /> �V n <br /> H I HEREBY APPLY FOR THE IISE OF WATER IH ACCOfiDANCE WITH THE eteHeo: X ,�'�`�C.�f�'�f-•', <br /> 7$ H � ORDINANCES AND POLICIES OF THE WATEN DEPARTMENT NOW EXISTING _ _ _ <br /> y y z OR AS SAME MAY BE HENE�FIEF CHANGED. . � <br /> �� � H G IN. 1 IN. 2 IH. I PNICE � I.MOUNT <br /> M/.tEPULB � I � <br /> I I <br /> � � COPPER--GALV.••STEEL ___JI . ---. — <br /> �y PIPE —"_ _ -'_-_ ! -_ _. __- <br /> a� � CORPORA'ION _ .----'_-'___ _ _ _ __ .:_ -" _"- <br /> � � � <br /> CURB COCK OT —�I <br /> H O Vi — -- ---- — —I �: - .__ .—� — <br /> SERVICE 80X PLASTIC • C 1 --- <br /> � _-_ —._ ' -..-__I .- __'__- . _. <br /> METER VAWE _. . _. _ . - I -�I � - - <br /> � METER No. -__-- _. _- _ -TYPE: ___ ._ I , _ —I__, _._ __'_. <br /> j METEH BO% CONCRETE _ _ SMALL LARGE ' _____I_� _._ _ _.____ — - <br /> � I li <br /> �___ _ _ <br /> ��� - - - --- --' --�- --- - -- -- <br /> --�--�- -- - -- <br /> - -- � � -- <br /> �— —_ - - --I— �—i-- --_ <br /> � <br /> � �� --- ---------- ---�I—I-- , -- — --- — — <br /> •+ ON <br /> . ' Y, I� �v OFF SUB TOTAL <br /> I _'- DATE INSTALLED: V <br /> LhBOR wHO EOUIPMENfP[NTAL I NDURS RATC <br /> COOE ! I <br /> /� `� ' � _ . __ _- _-_ <br /> (�� `� .__.__.__ "_.___ ---_- _-.__ <br /> _/_L_�3J�: " "____ "___ _--- 1 <br /> ___- <br /> _. ___-._ _-___ <br /> ' _- ._ _ _"_. <br /> �-_ <br /> _.__.___ . .. <br /> i 1t� � � ___ '"__ "-_ _.-_ <br /> -_ -__ <br /> _'- —_- I ._"_ ___. <br /> _'___—'- <br /> -__ _ _ <br /> —_ ._' -' __ - <br /> �� 1. —�---- ------- - ----------I -_ _ <br /> --'----------— —-- _ --- — _ __�-- - - -- -- ---- <br /> � TOTAL <br /> REMARKS: . - � - -'-' <br />