Laserfiche WebLink
APPL. ?.D3w APPLICATION FOR SERVICE SERVICE N° 9 4 3 � <br /> No. CRDER <br /> ��✓a�:�-, CIT7 OF' I:VERETT WATER DEPT. ` � , , ,. ' � <br /> icY FIXEO DA��� •'=J1�-19� <br /> 3� 2"�' <br /> � DEPOSIT s �� W.O. � <br /> No.�' <br /> / � �L-l"� _����L <br /> SERVICE (BY AOORE65)°_ ��� �� '�-�4" � �LK. L.OT °�� ADD,.�i.Q-��J-l��-rct.., <br /> / '! . I /� <br /> OWNE _ CONTRACT0�9GjC`C��7L%-��i+%�J C-s_�'�.�I <br /> FLAT <br /> INSTAL�. �� J WiIfrREO SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH TNE ��L� `�1 , <br /> ORDINANCES AND POLICIES OF iHE WATER DEPARTMEHT NOW EXISTING �,L� _ . � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. s�cNeo: X�'� =���- � <br /> MATERIALS � IN. 1 IN. I 21N. I I I PP � AMOUNT <br /> PIPE __ COPP'cR•-GALV.-•STEEL I I <br /> CORPORATION II I <br /> CURB COCK OT I I� I— • <br /> SERVICE BOR PLASTIC -- C I I �_ I �— <br /> — — — --_ — — � <br /> METER VALVE <br /> METER No. TYPE: I s5 <br /> METER BOX CONCRETE SMALL LARGE _ �I— <br /> ---�- _j�--!- <br /> � � � � <br /> - -- i - - - <br /> - -- � i -,-- � � <br /> � <br /> I ON � <br /> DATE INSTALLED: �.- �'— �� `�S � OFF SUB TOTAL � <br /> CODE � L�90N ANf EQUIPAIENT RENTTL i HOUHS RATC I� <br /> � � �� � <br /> I I �I <br /> — i _ _ �' I __II I <br /> i II <br /> _�_ � � <br /> i � � <br /> _.. . ._ _ . � I I <br /> G�/ I TOTAL � <br /> REAtARKS: `�� F �(II � .,-}- � . . . i r- .: M ( � l� � , .. ���'. ' � <br /> __�ili����/1—.I=L_�7U i (� .P�1. _.�� . �� --- �„ ._ <br /> � <br />