Laserfiche WebLink
1 <br /> � <br /> � 4' 'S'. "'� SERVlCE I <br /> "°�'� L CITY OF E.VERETT ORDER NO. <br /> �". �t,�14� r APPLICATION FOR WATER S[RVICE <br /> DATc _.�jZ�'___i9�� <br /> �,�PIXED <br /> L�O-��� W.o. <br /> � DEPOSIT g __,_ No.------- - <br /> �D�i�_� _l�L.iJI _U(�j(:�___1.J2- EL!(,.5.-_-LOT_LZ-l�DD.Li�tJ7C/-JC- � <br /> SERVICE (BY AOOkE981- -- --- T�,fc�LkL <br /> Q'VNERI S�--�IU/-C'L__L��I-�'il.:.=l- -.._.COMTRACTOR . -' _--.. .. _.____-_ .,. <br /> F ___ <br /> INSTALI� ETF_RED 5� -. . . - ��/"-�'� - --- � -�'�- - -- <br /> �"� ,_ . .___-_ �_ .- _. _ <br /> / ' � �--_ <br /> I HEREBY APPLY 'OK `Rc TER IN ACCOFGANCE V/ITH THE � . <br /> ORDINANCES ANJ POLICIFS Of -NH WATER DEPAR7MENT Nf,W E%ISTIN:� sl�ns /� ���-.� ,Cj ' ---� � <br /> OR AS SRME MAY OE HERERFTER CHhNGED. -� �;._3��G� ''�/ ' \�,' �. <br /> M/.tElilALS �/ IN. 1 INL21N __-`J '. '� �PHICE AMOUHT � <br /> --�_'� � <br /> PIPE�/�^,Sy"/P. � COPPER-.GALV. .-STEEL � — -�-. -'-' ---- - <br /> __ -� <br /> 2 i- -i i <br /> (:ORPORATION_.-."_ _-_-_-_ _'_- --_�-' j I- � — <br /> CURB GUCK GT __ _ I I __ <br /> ___-'__-_"_-.— —I --�--�I <br /> SF$VICE 60X PLASTIC •- G I __. _..L�1-.- --' <br /> _"-_--___-(--�-__'____-- -- <br /> _ f I <br /> ME'fER VALVE , R� __ . .. __ ._ � - --------- � --- <br /> _ _- <br /> METER No. .I.S �4 __ TYPE��� NS�r� - I' . " �_I-. �____- - _- _- _._ <br /> �_: _ <br /> � � � �,AST.e � 7ALL� LARGE � I I - <br /> _�METER B� �J GONCFET�� _ . .""_ _'_i__ --I -'_ - <br /> ' � ' �-- - <br /> _ ��'%-o S,il T�-�_Sr}V ^�r— --- - <br /> — -•�— l'� /!"d�1—�e�'1�------- i� ti.�i_��—.i <br /> _._«a.,--- <br /> -=f-'�cT:r,.J�r.,_i:.�-,-------,�--�--;- 1 — - <br /> � - ---- --�- - - � - - --;--!--- �--�- i—� - <br /> '---�-- -- � - ---- <br /> __- --- I <br /> --------------- , � � <br /> "-_ I f�T ON Y _ <br /> � fi � A� OFF SUB TOTAL <br /> DATE INSTALLEC:.f� �s_ 7�l' I I] - � <br /> LAOGR ANO F441?MtNf NEN�AL I ,��URS � RATE �� <br /> GOOE � � �� ---� • � � / ) <br /> _�I—._-.__.— I „C <br /> ---'-'�P�/-.'�"�------_.--�- — — -- -- -- <br /> ___..__ ..—.___ _ _ <br /> -----�------.._ . � <br /> — i . <br /> ,i' /�,i� �t O � - -- <br /> ---- -_-- - - <br /> • :<.,� u�.__ ..��_-I - -- - <br /> _' - _ 0 1 -� Ct��.., ��4,�_______ �_'� - -- <br /> _ <br /> _ — - _ t� � � <br /> �-. -- - -! �' - -- <br /> -- _ -- _ _ - - -, s- .,2 <br /> � �' � �- <br /> -I _ __ -_ -�� �� _ - �_ . <br /> — ' / '_T . . ,� . .-, �i.. �> 1l ' '/r _ . .; 7oT...A.L �-�__.t __ <br /> .'�I(�.C�ll�r�-2! t/ �. ;. ' . , '.__ . - <br /> _ _,�a��..� ��s-���'a+ ' .s•�'�+�... -�"o..'�"�Ilri._ <br /> REMARKS:Sa�f.�+�T_ -37�w�'c:^�a _ . Z � '���"'T-- ' " <br /> .. _� _. i . _� �'ii:.i . .__ <br /> � , � A� 4 ..__ ___ . . __. . <br /> ` � ' '_' _ . _' __ <br /> ��.. � _�. <br /> i. -".______._. <br /> _ "_�`a4. .. -. . ... _ .. _ -- " _-. <br />