Laserfiche WebLink
APPL. _� �� �O <br />No. � <br />���.J�o <br />� FIXED <br />� DEPOSIT 5 (% O <br />0 <br />`r� <br />uERVICE Y AOOqE86) <br />OWNER�K�`� <br />�. /i <br />INSTAL� METERED ; <br />I HEREBY APPLY FOR THE USE OF <br />ORDINANCES AND POLICIES OF THE <br />OR AS SAME MAY BE HEREAFTER C <br />PIPE <br />CORPORATION <br />CURB COCK OT <br />APPLJCAT;pN FOR SERVICE <br />CITY OF EVERETT WATER DEPT <br />0 <br />�J <br />LK.__LOT <br />IN ACCOROANCE WITH THE • <br />DLPARiMENT NOW E%ISTING <br />SIGNED: X� <br />MATEPL�LS I� ii IN-. f IN. � 2=N. <br />COPPER - GALV. -• STEEL 7 ! ���'7� <br />SERVICE BOX PLASTIC -- C I I— <br />_MEIER_VALVE �. �;, ,�: <br />_ METERNo.��t:)=�J�J/>°�q';Z TYPE:i",...•,..� I .g -- <br />-f= `'�j� <br />METER OOX CONCR g SMALL , LAf' 2GE <br />� � __ <br />i I..,. ,- <br />�/ v i <br />- y -� ;,, -- <br />., � ' ' � , �. <br />- „ �, — <br />-�' r� I <br />�ATE INSTALI_ED: � �,� _ '; 1' I n OFF � �� <br />�: � <br />CODE I LABOR AND EOt11�MENT PENTAL <br />,� � <br />� - <br />==i--------- <br />_ , --�- � - <br />� <br />.o <br />! <br />i <br />SER 'IY� 373 <br />ORD R / <br />DAT �y /�_I� <br />W. �/ <br />AMOUNT <br />7J <br />_ _. SUB TOTAL ��Q /�j <br />_ I HOURS RATE / <br />_ �_�_ ._� :.�I <br />,-I_1 ��, , � � �- <br />KI 1 �_-;I �(,I �� , <br />y � r _L�� 1�� �;-I <br />�__ II 3 I ��- <br />--��-- -�' r � ( - <br />I i �. � <br />TOTAL �i� 7/ <br />REMARICS: <br />�� �� _ . _ _—_ <br />M ^ � <br />�� <br />� <br />