Laserfiche WebLink
APPL. � �. 1 � S <br />No. v v <br />/�1�,1��j <br />� FIXED� <br />DEPOSIT � <br />❑ 51�0. � <br />SERVICE tay^pooaess� �/ <br />ApPLICATION FOR SERVICE SERVICE �i�� 31 6 <br />ORDER <br />CITY OF EYERETT WATER DEPT. / <br />, /�% <br />DAT — � �/-19�L <br />/ <br />W. O. <br />No. <br />�G' ��'�«-`"�,/ 6LK._ LOY�� � tl._ <br />FLA'Y <br />INSfAL IrTEi'ERt�B SERVICE --- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANLE WIiH TH <br />Of:01NANCES pN0 POLICIF.S OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY 6E HE�tEAFTER CHANGED. <br />IAPSCRIALS � �+ <br />PIPE <br />CORPQRATION <br />_. . . _ : �-• �.,� <br />SERVICE BOX P�LA'. <br />METER VALVE <br />METER No. <br />METER BOX CONCRETE <br />DATEINSTALLED� <br />��� <br />CODE � <br />r <br />GALV. -- STEEL <br />-- C I <br />TYPE: � 35 <br />SMALL LARGE <br />I � OFF <br />LACOR AN� EQlJIP1.lENT HENTAL <br />�. ; - <br />E ///.�� / � <br />s��Neo: Xlr�,"-�"=C(/Y� Q-ttCLG-O'� <br />IN. 1 IN.I 21N. ��I PRICE AMOUNT <br />f � I �l7 I � (�7 <br />SU� TOTAL OU <Q <br />HOUflS RATE •', <br />�_ �I �t S <br />3 � I,�-� j <br />II I <br />'' �- <br />i �I S�S� <br />TOTAL ,i 7�r� �c�.� <br />REMARKS: _ _ __ _ _ _—� N..I <br />o f 3� _`_ � <br />_ --- --__ _ ---_ -----------_ 1--. <br />