Laserfiche WebLink
� APP� � ��f-i� yyy� APPLICATION FOR SERVICE SERVICE N� 2493 <br /> �� No. 21 ( �l �/ ORUER <br /> � CITY OF EVERETT WATER DEPT. '�'� <br /> � �'FIXED DATc._�_ �O —19—� <br /> I � DEPOSIT s ��' `� ryp0. —__ <br /> I' SERVICE (aYADDaeee)��PA�p�� _I—L-'�7 BLK. LOT�/� nDDU�GLL'"f U�G�d <br /> iOWNER!��/r-^� �y�'���=�t��—�-CONTRAGTOR .— <br /> ����/// ��� r• LA <br /> I INSTALL�j�M TERED SERVIGE -- <br /> I I HEREBY AP�LY FOR THE USE OF WATER IN ACCORDANCE WITH THE � <br /> I OpDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING - � ��� L 1�,��+ny� <br /> OR AS SAME M�Y BE HEREAFTER CHANGED. s��r+E� <br /> FMATEPIAL6 I �F IN. 1 IN. � 2 IN. ��__ PRICE AMOUNT <br /> L p�pE COPPER-• GALV.••S7EEL _ _I _ <br /> I CORPORATION _ I _I � _ <br /> � CURB COCK OT I I <br /> I SERVICE BOX� PLASTIC -- C I I <br /> � METER VALVE _�_____ _ _ __ <br /> METER No. , _ TYPE: _ _I_`S _ ____ _ <br /> I METER BOX CONCRETE SMALL LARGE I_� _ _ <br /> I I <br /> I _ I I — _ <br /> ' I � <br /> i I <br /> � I � I <br /> j �-I I I <br /> �— '/ � oN <br /> I pATE INSTALLED: ����1'� � �� I � OFF SUB TOTAL <br /> C�I LA60R ANO EOUIPMENf RENTAL I HOUFS RrIT[ <br /> I I ____' _-__'_ _—_I__ <br /> II j. ; "/ r .l I � _ _ <br /> � ' �� iS��- vc P � �� -- <br /> i--= --- - ---Q r-- -Y�'- /% �_�_.. _ <br /> I I � <br /> i �-- ----- ------ - --�-- - - <br /> I- � <br /> I TorA� <br /> I REAIARKS: � . - ' � . .. <br /> �----��__•-...__- _ _-�.'.`_ r---__- -_--__-_ --'_-_". <br />