Laserfiche WebLink
Hn � <br /> � � <br /> m � x <br /> G". H <br /> 9yCn <br /> y � H <br /> �! C] <br /> H �7 <br /> "�+7 H �i1 <br /> V1 H <br /> Hx <br /> ti1 O <br /> H C1 <br /> O H <br /> H L�1 0 <br /> �� n <br /> H Gg' <br /> YHL�] <br /> t" z <br /> HH <br /> C � <br /> o Cy oi APFL, z6849 CITY OF [VERETT SERVIC[ <br /> � q OROER <br /> C•7 L-' N�� APPLICATION FOR VJATER SLRVICE ��° 5 6 2 0 <br /> � FIXED DATE_OCt 24 ._ f9 B'7 � <br /> HO� � <br /> w.o. <br /> � DEPO5IT S ti0.00_ No._ <br /> SERVICE �er woo cee�—._?020 Lake Heights Ur. Bldy P _BLK..---LOT noo.-- _. _ <br /> �'. 'y lC.' Y� G , <br /> OWNER ���a� —CONTRACTOR . - .-. <br /> F A <br /> INSTALL�x Z�� METERED FRVICE__-- - -- --- ----- <br /> I HEREBY APPLY FOR TME I15E OF WATER IH ACCOFDANCE WITH THE ��) a <br /> OHOINANCES AY� POLIQES OF THE WATER DEPANTMENT NOW E%ISTING -J . �.I `NN Q�� _ _ _ <br /> OR AS S�ME MAY BE HEREAFTER CHRNGED. elcrveo: X -��1.'�1A--l��r"' " - - --- � - <br /> MATERIALS Si IN.I 1 IN. I 2�H' ' I I PNKE ♦MOUNT <br /> PIPE COPPEft--GALV.— STEEL I .II_._ . <br /> __"_ _ _"_——"__'—�— "_ —_�__ — <br /> � GORPORATION , . _ <br /> i . —" —' — '--_— i— __ <br /> I M��' CURB COCK OT __I I �' _ _. _ <br /> a y <br /> SERVICE BOX PLASTIC -- C I <br /> �'Ir� � _ _TYPE: /C�/S/CW �. __I__I__II_ __' <br /> METER VALVE _ _�_ _ <br /> _-_— _... _ _ ' _ _ '--- "_- — '_.._- <br /> ' ' ' METER No. �p2 �� <br /> .. _ _-_� _-_ ' _—' ___. <br /> ���i <br /> � METER BOX CONCRETE SMALL LARGE I _I___ __ _ <br /> ,. _ _ . . _ _ i _ .___I I I <br /> -"_._. . .___'_-'I_'___i —,...— —_ --- <br /> i _„' _—I --j—= 'I— —_— _____ <br /> —I � -I_ <br /> _- __ _�__ ____ -- -_. <br /> t�i") ---- ---- --,— �—��I-- --- -- <br /> � ON <br /> DATE INSTALLEO: //� � C�_�� I � OFF SUB TOTAL <br /> W � <br /> � i CO�E i Lh00R AND EDUIPMENlNENTGL 'I HOlIFS NAT[ <br /> A��� ' "-_-- _ . CA/' I k �a.�'h' ___�_ ._ _._ ____ __ . . <br /> — i <br /> 'i _-'- — —- — �� _._._- _-' _ _. _ <br /> I�� _ -_-________'_ "_-_-_ _'--�I--' --__ _ -_ <br /> - - - - ----- - - - -. <br /> --- 03/03367--- ------- - - ----- i� - -- -- — <br /> � <br /> TOTAL <br /> REMARKS. _ _ __. <br /> �_ . _ .. . ._ _ __ <br />