Laserfiche WebLink
APPL. i G' • SERVICE <br /> �� J� � CITY OF EVEFlETT ORDER <br /> No. � �G qpFLICATION FOR WATER SERVICE I��° �J �L J O(�' <br /> -Tli FIXED DATE__��d��19-s�- <br /> �� W� W.O. <br /> � DEPOSIT � No._ <br /> SERVICE (eYAoon�ae)��-.1�Ll./L�����r ��r BLK._—_LOT_1__/—ADO.J.f1I1CUL��C._ <br /> ,I I �'1_ J <br /> OWNER }? , N�,� I ��[��1(]f� CONTRACTOR_11J./.11ldf/'� �_iiS./n��pJN['JTJ1� <br /> /,J FLAT <br /> z � ERED SERVICE._— <br /> INSTALL—�_ � - <br /> 1 HEREBY APPLY FON THE USE OF WATEF IN ACLORD�NCE WITH THE ! <br /> ORDINANCES AND POLICIES OF TNE WATER DEPARTMENT NOW E%ISTING v� � <br /> OR AS SAME MAY BE MEPEAFTER CHANGED. e�cNeo: X • _--_—._. _._---_ <br /> MATERIALS ;i IN. 1 IN. I 2 IN. I��_ PA�CE AMOUNT <br /> I <br /> PIPE COPPER-- GALV.•- STEEL <br /> COP.PORATION _ _ _II� _ ' <br /> C'JP.B COCK OT I <br /> SERVICE BOX PLASTIC -- G � I <br /> MGTER VAWE <br /> METER No. TYPE: __ _ I :f _ <br /> METER B6X COfJCRETE SMALL LARGE _ _ <br /> __ ____ - _ I _�.- — _ <br /> � I <br /> _ — '_I —'I.— — <br /> _ ' � _ — — -- <br /> ___I — — — <br /> _ — I I_ I—I.— <br /> �(.V <br /> DATE INSTALLED: /,7�'� O'i�J I ��FF SUB TOTAL <br /> v� p � <br /> COOE I LABOR AND EQl11PMENf RENTAL HOURS RAT[ <br /> � C��s'�//7'Aril2�' — <br /> --� - ___ —I — <br /> � Cl� �-� — — I-- -- ---_ <br /> I � _ <br /> —I -- � _ — — <br /> —� - --- —- ---�-- — <br /> I TOTAL � <br /> REMARKS: <br /> � <br />