Laserfiche WebLink
�� APPL��)"17t �'. � APPLICATIOk FOR SERVICE SERVICE Nn zzq% <br />�� No. [l ��'1 �.� �RDER <br />(�=�cc� r�o�.-� CITY OF EVERETT WATER DEPT. ' /�, <br />� 'L�4 �Q. OATc ���� —ig% `f� <br />�FIXED � <br />/���!'� � � �` '�7�� ``' 214 �� � c� � �.,< W. o. <br />��� � DEPO5IT 5 l�4I`i'—� C �.0 �•: `u�: i P.�{ W�a--rL—[L �P'� No.-- <br />I SERVICE�aYwoDAE591 (�� ��' -L.f/'-��-'-'R�� �LK. LOT—� ADO.L..�_� <br />`1 �� <br />O\VNER � ��'E/-S-- �_ �''� ��'��-��-�- -'----CONTRACTOR-- "_ — _-- ._ _ ' _— <br />' Z( _—�FLAT� � <br />�i INSTAL�-�� F7IE7ERED SERVICE-- ---- �- � - <br />I I�:EREBY APPLY FOR 7HE USE OF WA7EF IN ACCOFDANCE WI7H THE <br />I ORUINANCES AND POLIQES OF THE WATER DEPARTMENT NOW E%ISTING �- <br />OR AS SAME MAY BE HEPEAFTER CHANGEU. sIGNEo:X. ��� _� <br />! _ ��– �� , <br />, mnrEain�e '. irv. � i iH. I�z uJ. I I ��T-"P }�lEe /� n. uHr <br />i PIPE COPPER - GALV. -- STEEl. % i�"� I �II I I�� <br />i CORPORATION � �I I <br />. r�� ieeJ-� <br />I SERVICE BOX <br />� METER VALVE <br />� METER NO. �J_ <br />� METER BOX , <br />u <br />�— <br />I� DATE INSTALLF.D: <br />CODEI I <br />I I <br />�— <br />� <br />I REMARKS: <br />I --- <br />PLASTIC -- C I <br />`� � _� TYPE: �5:�.�_ I '6 <br />INCRETE SMALL -LARGE <br />�—_—_ <br />...__- � �9 /-....➢.%✓:'i $��%� 1 !i <br />-.��- JG I � OFF <br />LPBOP AND EQUIPMEN'fR[NTLL <br />C /(� <br />i;. , ,, <br />+� I�-s _ <br />� : -� <br />— ,"�.—. — — <br />SUB TOTAL <br />HOURS qAT[ <br />� ! <br />% --__ <br />1. <br />�! - -- <br />__ <br />4� — -- <br />3 -- <br />TOTAL <br />" __ _ —�--._ <br />