Laserfiche WebLink
APP �,, �+ <br />No. ' � c� � � CITY OF 'VERETT SERVICE -, .i � 1 <br />�, r� /�. <br />". 1 APPLICATION FOR WA�iER SERVICE ORDER NO. .. .. <br />� FIXED <br />� DEPOSIT S � � y <br />� <br />�/3 J'=, ��— �,',� � /c <;•.; <br />SERVICE fevwoonEsa�ls�f�1� -���'�4--y � <br />n _ i . �% / //�. <br />DAT�v__ � _19� <br />W. O. <br />No.___ <br />� —e�t:._�—i��nnSS�u^^��`�r� <br />CONTRACTOR _ <br />INSTALL f�_M�EERED SERVICE-- _.— ___— _ <br />1 HEPEBY APPLY FOR 7HE USE OF WATER IN ACCORDANCE WITH THE / <br />OFDINANCES AND POLICIES OF 7HE WATER DEPARTMENT NOW E%�STING <br />OR AS SAHE MAY HE HEREAFTER CNANGED, sicrv[o:X j <br />MATERIALS �i IN. 1 IN. �, 2 IN. <br />�P� S��C __ _ COPPER -• GALV. -- STEEL St� I <br />CORPORATION H�SOO I I I <br />�___ <br />CURB CO!:K OT � <br />— _—_ —/ _ <br />SERVICE 00X PLASTIC C I / I <br />—_— _ —� <br />METER VALVE <br />METERNo. .__—_—_.___ _7YPE____—_._ __.I__ I— I'�— <br />METER BOX CONCRETE SMALL LARGE <br />—�5 � i .� --- -- — — <br />�f � ° ELL Go�cQ,.�__ <br />—S_p_fl_l_bs__ c� _�� `� <br />-�r� s �-n�_It- _ _ <br />DATE INSTALLED: <br />COOE � — <br />REMARKS: <br />v <br />� � % � <br />/� <br />' __ -_- / <br />� PRICE <br />------� — - �— -' - <br />I <br />-. ._.. _ I I 1. _ ._ _ <br />I � I � <br />ON <br />Z a-I �Q � OFF <br />LABOP ANO EOUIPMENfRENTAI <br />SUB TOTAL <br />HOURS I RAT[ <br />-------- --- - --_ _ - S, -!a-�(_ '_S__N�?---- <br />_ _-- _ ,p, y_d,-„e lT ! 5 __' <br />---- - ---- -- - — — <br />y i ,; – <br />� 3 7 _' �, - - -- <br />_ �// <br />��� 0 -- �- 3 � � i �- ,-, - --- <br />— -- ------�--- _ _— <br />, — <br />7orn� <br />