Laserfiche WebLink
APPL.��CSO� APPLICATION i0R SERVICE BERVIGEN� '� is�( <br />No. <br />� CI7'Y OF EVERETT WATER DEP7. ORDER <br />�FIXED DATE�L �Z __1B7_`r <br />� DEPOBIT s ) j � yy '�- <br />f /[, _ O. <br />No._ _____-'_ <br />3ERVICE �er wnoaes�> �O �� 0���/✓ ��� S I <br />BLK. LOT.__ADD._��%REE�E <br />�,.,��e c�. /-� 1_ �i�u n., � n l ----- --- c-.a ._.,F GhRDENS <br />I HEREBY APPLY FOR TXE USE 0� WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF TNE WATER UEPARTMENT NOW E%ISTING <br />OR AS SAYE MAY BE HkREAFTER CNANGED. e�cr�eo: . <br />MAT[11IAL� I� iN. � 1 IN. I 1 IN. <br />PIPE <br />CORPORATION <br />CURB GOCK <br />SERVICE BOX <br />METER VALVE <br />MiTER No. <br />METER �OX <br />COPPE GALV.•-STEEL <br />OT <br />YLABTIC •- C�i <br />CONCRETE <br />TYPE: I ji <br />SMALL LARGE <br />> � L����—EL�— <br />,. , <br />�iC+N <br />DATE INSTALLED: �� —� C� �'y� n OFF �{.� ��� <br />/J / /--/\ • _�L <br />COOE I LA60R AND EOUIPMENt RENTAL <br />PRICE iI AMOUNT <br />SUB TOTAL <br />HOIlRS I PAT[ <br />-_ _--.�L._�C'1�.�� II�_ ___ <br />I <br />__- ___ � <br />_ -_ "_ _ _ "-_- <br />- --- - _ �// __ - � � -- -- <br />--- - - .��.� I � <br />_ 1_—= <br />--- �- <br />" I TOTAL �I I <br />REAIARKS: -.7 -���' <br />----- - �ss�- - --- -- -- <br />-- --- ,,•— >o <br />