Laserfiche WebLink
APPL. �Q��` .1FPLICAfiION FOR SERVICE SERVICE jJ° � 2 Z O <br />No. ORDER , <br />;1c-,� �IT"a' OF EVEi2ETT WATER DEPT. `���i,��G ,�, <br />� ,. <br />� FIXED � <br />DEPOSIT F /�� � r� � <br />3❑ERVIC�1(BV,/rbDRE83"�)_ //� ��� <br />_.....__,�i(�!t-av �/ ''-�C%%tt�r�t�i..! <br />DATE_ —1B— <br />W. O. <br />Na. — <br />�' /^ �d'rs —1i<i3 <br />��vl �" �tBLK. LOTI���`" � DD. <br />/ J �'�� FLAT �� <br />INSTPI�= ��SER CE — <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORCANCE WI7H THE <br />OROINANCES AND POLICIES OF THE WATER DEPARTMEN'� NOW E%ISTING <br />OR AS SAME MAY BE NEREAFTER CHANGED. sicr+so:) <br />MATERIALS ii IN. f IN. � 2 <br />p�pg COPP6k -- GALV. •- STEEL � <br />CORPORATION � I <br />CURB COCK �O I <br />��� ! <br />SERVICE BOX QLAS7IC - C I I_ _ <br />..T— —� � <br />METER VAWE _ <br />METER No. __ _ _ TYPE: _ _ I 4£ _ �_ <br />METER BOX CONCRETE SMALL LARGE <br />i i O.f C i � <br />DATEINSTALLED:. <br />COOE � <br />I 1 � l <br />_i = ,' .,'r f l a <br />�. <br />i <br />---) 1 ; l <br />I � ON <br />_ 70 p�oFF, �- ,':� <br />LABOH AND EOUIPh1ENT RCNTAL <br />REMARKS: <br />"__ __ <br />����L-� ------- ---- ------__ <br />�^ <br />.�.:..�•.�-t�— <br />PqICE AMOUNT <br />� I� <br />I' 3 h, <br />SUB TOTAL �i' /f /� <br />/ <br />HOURS RATE <br />�, i�'�. � C !% <br />S 3,7i: ii /b � b`' G <br />�C '� c. / � �? i f! <br />TOTAL <br />