Laserfiche WebLink
NoP�� ��- > .'� � CITY UF 'EVERETT SERVICE <br /> - � ORDER NO. <br /> APPLICnTION FOR 6VAT[R SERVICE / <br /> � FIXED DATE_J�'�L:�' � . in_-� <br /> i <br /> � DEPOSIT �,� j � `N. O. <br /> — No. __ <br /> SERVICE (BY AODREtl61_�LL_/ LG'=�L� � _BLK._r�B�-�LOT_�AD�L� <br /> OWNER��1G_C' ._ i y.��._�CONTRAC70R-_______... <br /> —___-___ ._ <br /> �/ ;, _ <br /> INSTALL_�L1_�ETERED SE�_�.-_ __- —�_ _._._--___--. _.. _ ._ __ _.__ ____..._- <br /> I HEREBY APPLY FOR THE 115E OF WATER IN ACCOFDANCE WITH THE <br /> O(iDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE HEFEAFTER CHANGED. stcr�m: X - O'4c•-�._ _ _ __, . . __ <br /> � - ��1 � i I P� AMOUNT <br /> MATERIALS �.11N.� 1 IN. � 2 IN. � <br /> PIPE � ~ COPPER-- GALV.• STEEL ( ' � <br /> _ � _ <br /> �ORPa�ATION ___ _ _.-__ -__._" }_�_--I-_��--_ I _ <br /> CURB GOCK OT � I � <br /> SERVICE HOX PLASTIC •- C I I � <br /> ___—_ _-___ -- _- . <br /> _��_Y�—_-'_—_' / I <br /> METER VALVE �• <br /> —_—_'L.__'—/ ___ .. ______—____._._.___._-__ � .. _. __.___- __ _-._ <br /> METER No. �j �.�7 � TYPE�� ��\wrC'( _ _I._�'�_ _— ._I <br /> -'-... . _.____._ - <br /> �,,�,�--,--- � <br /> METER BO% CONCRETE ��-Y SMAIL LARGE , <br /> � y -- ------ ---L—I--�— . -- -- <br /> -- <br /> . _ � i <br /> r:\ , <br /> �l ( �a l3 �-_�-,`:---- --- -- i -- - <br /> - --- - —�— -- -- - <br /> - • , --� � - <br /> - -- ----- - ---�-- �---� - --- - <br /> , i ��i � <br /> ----- -- —i I-;------ - --- - <br /> � <br /> DATE INSTALLED: .,J /� � 1 I f�] ON <br /> � OFF SUB TOTAL <br /> CO�E ' L�BORAND EOUIPMENfRENTAL / MOURS RATE <br /> _ �I� Y � � ���� t�"� _ �.� <br /> — �� f s� j� ---- <br /> �� � � � <br /> - - ---- - ' � � y �� - _- - - _ <br /> - --- , :���- -� s - <br /> --------- - - --- -------- --- <br /> , — -- --- <br /> ! TOTAL <br /> REI4ARK5: <br />