Laserfiche WebLink
�� ',PP�l�/'/ / � APPLICATIUN FOR SERVICE seavicE No ZZg3 <br /> � No. � ORDER <br /> , CITY OF EYERETT WATER DEPT. <br /> ; � FIXED DATE �>aA_7��__�9�1V <br /> � � DEPOSIT s vn , r.�_ W. O, � <br /> No.__ <br /> I <br /> ' SERVICE (evwDnnE88)-L•ll 1' P.ai..fAys;tivy _ BLK.__LOT-Y_(__qDD.�Y��,l+:_'L�1_�u,'� <br /> � <br /> i OWNER—A� D S C�. ___.__CONTRACTOR-1L7�S�L� _ <br /> �� LA <br /> I �NSTALL_�� ERED SER�'ICE___ _ <br /> I I HEREBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE V:ITH THE <br /> I ORDINANCES AND POLICIES OF THE WATER DEP.IRTAIENT NOW EXISTING /7 _ ��/����/�/� <br /> OR AS SAME MAY BE HEREAFTER CHANGED, slw�eo: X L�S�'1. <br /> i- �� <br /> i MATEqIqLS �A IN. I IN. I � �N• � I I PFILE AMOUNT <br /> i <br /> � P�PE COPPER•- GALV.-STEEL <br /> I CORPORATION _ � <br /> � CURB GOCK OT I <br /> f---- I <br /> I SERVICE BOX� PLASTIG -• C 1 <br /> � METER VALVE � <br /> � METER No. _. .� - TYPE: —I�, — —__— -_ ___ — <br /> j METER BOX CONCRETE SMALL LARGE <br /> I _I —I— _ <br /> � I — ___ — <br /> i '—_I _ <br /> �-- _ _ I _ � _—_ <br /> I � ; � I <br /> � I-I -I I i'- <br /> I DATE INSTALLEO: �/ � L' _ J/ [l ON <br /> (/ � � � p � OFF SUB TOTAL <br /> �� ��E I LAdOR ANDEOUIPMENfq[NTAL I NOURS R4T[ <br /> i��_I __..—_—_._ I <br /> I I ��' —_—.I�__ __ _ <br /> j � � - �C�.� 13 -- <br /> � ��/ ---�/��/ -I.Z <br /> I I <br /> � ; ------�v-�--Z- -I-- --- <br /> I- I ------- ------ - - �---- - <br /> I �7 <br /> � REMARKS: /�• 9 '�.' �� TOTAL <br /> �---r:,ei2.s�0� t�'-=— ------ — <br /> .�- <br />