Laserfiche WebLink
��'P�•• _ f 9�� 9 AFPCIG�ATION P^.R SERVICE SERVICE jv° <br />N�• ORDE <br />��,���� CITY OF E'VERETT WATER DEPT. ���,�� <br />rEf FIXED DATE <br />1V � <br />� DEPOSIT S '�;�OC�� ��_� W.O. <br />V No.— <br />�J��J � . /+--Lf/zt r '�-� / ��C'. <br />�ERVICE cav�oo ess) f` ' BLK. LOT ^ <br />� '� i / r <br />OWNER�'-��'-��:R �tAr �' � --zL/ L=�-_YLC�i!- ._CONTRACTOR_ <br />G . � <br />�� � <br />INSTALL_� METERED SERVICE_-- _.. —.._ __._ <br />I HEREDY APPLY FOR THE USE OF WA7ER IN ACCORDANCE WITH THE ��._ <br />ORD�NANCES AND POLICIES OF THE WA7ER DEPARTMENT NO\V E%ISTING � <br />OR AS SAME MAY �E HEREAF7ER CHANGED. sicr�eo: X:�./_�Z'-�L � <br />1f1TEnIqLS ?4 IN. f IN. � 2 IN. �� <br />?IPE COPFER -- GALV. - ST[EL � �' �i_ <br />CORPORATION � <br />CUR6 COCK OT I �— <br />SERVICE 90X PLASTIC -- C I I <br />IdETER VALVE _ _ __ %�lh � y» �RCw _ _� __ <br />METER No.`��'f_��.�C�Y�-rj'TYPE: n I 3g ��_I_i_ <br />METER BOX /CONCRETE� SMALL L4RGE <br />�ATE INSTALLE�: <br />�O - <br />CODE I <br />p"'.a , <br />,.�,., r,�-'�r,.�, ' <br />ON <br />� ( �-OrF <br />LABOR ANO [Ol11PM[Ni FENTM1I <br />� <br />)!' f,�rt a <br />I� <br />--- —I � � <br />���ct.�!"6�--- -- - ------ <br />�------ � : � �=— � '�"-- --- <br />� /l � 1 � � i � <br />RrrenaKs: ; , <br />. � _ i <br />.�.y,/.:r_� .,,. <br />_.� _:_ _____ <br />PRICE 11AOUNT <br />. � � �i ��'/� <br />���7- <br />SUB TOTAL ���� rI/ <br />HOURS RATE y'S� <br />� _ , �-i <br />�� I <br />I <br />% - �� —i - <br />-- I� i <br />7 � (' I� �- I i _. <br />. ����� , � <br />i... i� � <br />� <br />