Laserfiche WebLink
APPL. <br /> �. �'%?�^y APPLIC:.710N FOR SERVICE ORDERE y� � � g <br /> "�. �i �ITY OF EYERETT WATER DEPT. Y <br /> 4��.� �. ; - 3 <br /> ` DATE�_ —�g � " <br /> �FIXE� L J J �NoO. <br /> C DEPOSIT gJ�..�Ji )� <br /> n c /�,([// � <br /> SERVICE (B�Y/qoot+ 8)����GG � "'"—�� BLK. LOT�NDD. <br /> OWNER._.4— ' ����1��" �� � " � ---GONTRACTOR <br /> ^l �" FLAT <br /> INSTALL�} � -+�T��-'D SERVICE — — � / <br /> / �( <br /> I HERE9Y APPLY FOR 7HE USE OF WA7ER IN ACCORDANCE WITH THE 61GNED:Y.���'Q '�� / ����— <br /> OflDINANCES ANO POLICIES OF THE WA7ER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CIIANGED. - ' <br /> �,�i IN. 1 IN. � 2 IN. I � PPICE AMOUNT <br /> IA ATEF I ALS I� �• <br /> �:J� ���1 <br /> p�pE (OPPER•- GAI..V.-•STEEL �:3 2 "� I_ — . �� <br /> _� -� --I�-=�-� <br /> CORPORATION — I <br /> �URO COCK�,. q�, — I�I��. <br /> �---� � �����"> <br /> SERVICE BOX PLASTIC1-• CI _ <br /> METER VALVE --- --- <br /> METER No ---- _ TYPE: I �S _ -- -- �-��—� <br /> METER BOX CONCRETE SMALL LARGE _ _ / — <br /> �, f)���! <br /> � ���v - � � <br /> -- � �- i <br /> ----� _� - <br /> -li -- --II <br /> - �I -j - <br /> I � �N f SUB TOTAL , � � <br /> DATE INSTALLED: ' / r� �OFF /�5��., ... ... - � <br /> ! I <br /> I HOIJH6 RATE <br /> CODE � J IA�OR AND EOUIPIAENT RENTAL � <br /> /// I_-L_ _�•t�-'_J " <br /> �,::L._' -�.•.i.�--- '-- ' <br /> - __ � �� �I�� �`/� ��C� . <br /> I I �� � <br /> / ��'-_. <br /> _—' � �I I <br /> � --�—_---- <br /> — �, . ' � <br /> -- — .�— %. 5 •%'�� ' �' <br /> I�n � � <br /> -- ----- <br /> ___I: __ —.________._..__— I TOTAL J��� <br /> • �J�5�}— <br /> REIdARf:S: __._____. _._._—_ <br /> — _—_—' '___ <br /> L"1� _ _ .. ---� — <br /> � <br /> � • <br />