Laserfiche WebLink
; --- -- -- _ <br /> _ ___` _ -i <br /> iW wJ�F'� . ..•. ' <br /> ��� / ����� CITY OF EVElIETT oRoeR� NO. ��3 � <br /> No. APPLICATION FOR WA?EF SERVICE ��_�s� <br /> DAT <br /> � FIXED �� W.oO. <br /> G7 DEW61T s �3� _2/'n <br /> �� �7 � BLK. sa.+�/-LOT�A�;�y� <br /> SERVICE l�Y AODRUs)-�l-L--�- - ' <br /> CONTRACTOR <br /> OWNER--�-'� ' <br /> INBTALL-�— ETERED SERVIC � <br /> I HEREBY APPLY FOR TNE USE OF W�TER IN ACCORDANCE WITH TH! ��� >9-- _ <br /> ORDINANCES AND POLICIFS UF THE WATER DEPARTMENT NOW EIfISTING ���Neo: X <br /> OR AS SAME MAY BE HEPEIIFTER CXANGED. �RicE �MOUNf <br /> � IN. 1 IN. � Y IN. I <br /> MAT[NI�L� (� <br /> IPE Q, [G COPPER--GALV.--STEEL I G7� - <br /> CORrORAT10N N I�D 5 � I <br /> I <br />. CURB GOCK �T I �-- __. <br /> SERVICE BOX LASTIC - G �_ — - <br /> AtETER VAWE _ --- I —__ __ <br /> TYPE: ��' -- -- <br /> I � METER No. . - <br /> �— SMALL LPRGE __-- -- <br /> � METER BOX CONCRETF �__--------I <br /> u4r� l7Qv� L. I — _ <br /> /507 _I � -- <br /> — --- � � — <br /> —.---- <br /> , ---� <br /> _— — I I� �— <br /> oN sue rorw� <br /> DATE INSTALLED• 7/'j� 1�O I I,] OFF <br /> I HOUR! RATE <br /> CODi I LABOP �ND EOUIPMENf RENTAL /�-''TP�I �I — <br /> 1 V� <br /> � "–_�— �J aca� y " - <br /> � �zii I� -- <br /> '; c7g j-��-�--�7�i�-- - <br /> , _ --- .- <br /> ---- <br /> � - - -- � <br /> I TOTAL <br /> —'------- " <br /> REMARKS: -- - <br />