Laserfiche WebLink
i <br /> SERVICE <br /> rAio. � �/ • CITY.OF EVERETT - oRoeR NO, r� i <br /> APPLICATION FOR WATER SERVICE / <br /> � FIXED DAr 3J—_19� <br /> � <br /> � DEPOSIT s ��s O�_ <br /> W. O. <br /> No.__. <br /> SERVICEcer�o�peae�—��_��1/Nr���__(2�-_BLK_a`rLOY"F�'�1�.1Y__ <br /> �1 � � � /� �� t'�ii <br /> OWNER�1`�J�c�f _L.e7_��__GON7RACTOR <br /> INSTAL�_METERED SERVICE-T_______ ____ __ __ <br /> I HEREBY APpLY FOH THE USE OF WATER IN ACCORDANCE WI7H THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING �� �{��� <br /> OR AS S�KE MAY BE HEREAFIER CNANGED. eicrvco: X u <br /> M/.TERIAl6 � <br /> _ I 9i IN.� I IN. � 2 IN. ' � PR E AMOUNi <br /> P�PE C PP -- GA V.-- I I <br /> 1 _L__I_ <br /> CORPORATION I I � <br /> CURB COCK OT _ — �_'---I —�.._ _ , __ <br /> SERVICE BOX PLASTIG - C I �^,�.��" I � <br /> METER VALVE �"-'-'�� �. <br /> "..--'- _._-' ___-. —__-____ _ _ .--- —_ [�- <br /> _METER No. TVPE: ' <br /> METER BOX CONCRETE _SMALL _ L RGE � <br /> _-- -�.-- _— .i _--- I I— — �. � <br /> i - <br /> _�--�I ... . <br /> i <br /> - _.—' _ - - _ _ r� ;l ;. <br /> -- - — - —1�1���/___.�— _ ;.: <br /> ; ---�, �-i-I-I;--;- -- _ <br /> � <br /> I � ON - <br /> DATE INSTALLED: � OFF SUB TOTAL l <br /> r <br /> CODE I LAI?OR ANO EOUIPMELfRENTAL � NOURS qATE <br /> i--����rx�_s r�� s��v_«,� —_i_—� _ <br /> —��_2�?- 9��o iv�p F - — — -. <br /> � <br /> - -- — <br /> � i = <br /> -- - -- -----�--�-.�9� -fl-/- -_ -- ---- <br /> � ,� _ <br /> ------ - -- - ------ -- - - <br /> � i - <br /> -� -----_----- - i -- _ � <br /> - i <br /> TO7AL • <br /> REMARKS: <br />