Laserfiche WebLink
NaPL ,�{��C(-���✓ CITY OF EVEflETT SERVICE <br /> APPLICATION FOR WATER SERVICE ORDER Ns � 637�6�'} <br /> � FIXED , C�� DATE___����p(��� <br /> � DErplIT s � � � <br /> /�A W.O. <br /> t � � I I No. <br /> SERVICE,�a ADDIIp�7 '�L/ . L . ' � , �/ ";� <br /> / BLK._ LOT ADD. <br /> OWN[ % i' / , <br /> J �� FLAT -�} ^7 / [�4ONTRACTOR <br /> INSTAL � ED SERVIC� T L��'P�� / <br /> I XEREBY APPLY FOR THE USE OF WIITER IN ACCOWDANCE WITX THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPAR7MENT NOW E%IS?ING <br /> OR AS SAME MAY BE XEXEAfiER CHANGED. •�cHeo: X ���__�__ ��, rt1 __ <br /> M�T[RIAL� w IN. I IN.� 2 SN. � <br /> I PAIGE AMOUNT <br /> r�rE COPPER--GALV.--S7EEL �� <br /> CORrORAT10N - — � <br /> __I <br /> CURB COCK OT � . _ <br /> SERVICE BOl( PLASTIC - C I � �— '- <br /> METER VALYE -- <br /> METER No. 7YPE: � y� — — <br /> — — -- — _--_ <br /> METER BOX CONCRETE SMALL LARGE <br /> — I � _— <br /> I <br /> '—i — _— <br /> I �__ <br /> �� / ON � � � � <br /> DATE IN37ALLED: L,I/( /9� I � OFF <br /> � ( SUB 70TAL <br /> COD! � � LAlOR AND EpUIPMEN'f pENTAL <br /> �I�f��� �i� MOUp9 NATE <br /> I —� __ <br /> I I ��" <br /> _ — I � _" <br /> i i_ —�' � _ <br /> � I � � <br /> REMARKS; ��pwe�- �( �� �j� <br /> TOTA!, I <br /> —rr <br />