Laserfiche WebLink
i oP� � ,�� I� 4°?LICA7:�N f JR ;cRVIGE <br />SERVICE N� 9 3 <br />�f J�f i�/ CITY OF EVCRETT WATER DEPT. ��oER <br />FIXED / <br />� L�EPOSIT 5�I( .��_ DA7'E_� I fJ-I��=19 Y-/ <br />W, O. <br />/) / 'y- No.___ <br />SERVICE �eYnooaess7 ��+/-, ���/-I, 1, / - 1 <br />���� l. `—� � @LK.—___tOT /J _ADD._ <br />OWNEIi__.� / / K���C-_�=4-%-f=-LI`!iP �U� _--_ <br />� ��j-�CONTRACTOR <br />INSTALI / ME7ERED SERVICE___ --- <br />I IfEREBY Af'PLY FOR THE USE OF WATER IN ACCOROANCE WITH TNE <br />ORD'NANCES AND POLICIES OF THE WhTER DE�ARTMENT NO1Y E%ISTING <br />OR AS SA6i� MAY �E IIEREAFTER CHANGED. � � <br />�_ <br />SIGN[O: X. .,F' %'-_/�./L.�� � �/ t_z, �/2f _� <br />-.�� SIATERIALS -�— � <br />�,� IN. 1 IN.�f'21N. I PRIC —��_._ <br />_ PIPE— �OPPER ' E <br />}- GALV. -- gTEEL AMOUNT <br />CORPORATION � I __I I�- � <br />_ � ���� <br />-- --� il 5�� <br />CUR6 COCK OT I � I � <br />�_. _ <br />_SERVICE 60X PLASTIC •- C 1 j i � <br />METER VALVE <br />METER No__,�7—�� <br />METER BOX (40NCRETE <br />DATE INSTALLED:; <br />coor_ � <br />��� <br />i <br />-•� N � py <br />AALL� LARGE <br />I ❑ ON <br />�-OFF <br />LABOR qNO E0�11PMENi RENTnL <br />REA7ARK5: � I � ' _� <br />�� �_ C�' C, G <br />.l__l.___'- � <br />-,_ �_._ � C i-� LCJ_:._ • <br />C -}- L-_-_ <br />� <br />_ _- \_��iL� .._. _ I.. . .0 _.` _�. _. <br />