Laserfiche WebLink
APP�- ^' �' % � � " CI i Y OF'EVERETT � sEavicE �, �� I <br /> No. �— ORDER NO. .i :. v .: <br /> APPLICATION FOR WATER SERVICE �]�� / <br /> � FIXED �e DA,T,£/v'���5�_—ig� <br /> f <br /> � DEPOSIT s � �J W. O. <br /> No._ ____ <br /> ��/�.�it_ �� � / /' �� � <br /> SERVICE Ier�ooaEesl .__1_=� BLK._��LOTJ G—ABI�.' �� � <br /> n . +� <br /> OWNER��c__1luv�-_:'tiT�J_.� _CONTP.ACTOR_._..___ L�=�t� I ' ., <br /> i> �� FLAT—___._. ��� _—_--_ <br /> INSTALL_L."—{METERED SERVICE__`__ _. _ ._._._ _ <br /> 1 HEREBY APPLY FOfl 7� GSE OF WATER IN ACCOROANCE WITH THE <br /> ORDINANCES AHD 1'OLICIES OF THE WA7ER DEPARTMENT NOW EYISTING /'> <br /> OR AS S�ME MAY BE HEREAFTER CHANGED. sicHeo: X!�_t� �' <br /> _ _ _��_ <br /> �7 mATERI/.LS �1 IN.I 1 IN. � 2 IN. � I I PPICE AMOUNT <br /> F'�PE ✓'�� t f�� _ COFPER•-GALV.—S7EEL _ �� <br /> { <br /> CORPORATION _ �� I <br /> CURB COCK OT ___ _ � —� <br /> SERVICE BOX PLASTIC •• C 1 I <br /> METER VALVE j_�`_�3 <br /> ` -- ----- -- — —1----- — <br /> METER No_:_,.: i� TYPE:��p,1�Q I •h — <br /> METER BO% CONCRE�E' �� LAFGE � I <br /> <`"�- w����-�tl -- - ---, � -�-I- - -- <br /> � - �- <br /> ,. •� �� � . r, I � I <br /> /�; , —� — <br /> �' l^�n f J ' ,p , r, ---- --— --— — I 1-� <br /> `, ---r-----�------ -- — — —— — <br /> �'ta '� _ . . .-.d'tJ� r,Y' l,� i�a " ¢wi�lJ I � <br /> e` � <br /> • ,i V� �- � — � — <br /> :i :3 . r1r <br /> a'�o�L.�41�� - - - — —'-�� -;—�— <br /> �— I.?-7 � I oN <br /> DATE INSTALLED: � OFF SUB TOTAL <br /> GODE I LAOOP O EqlllPn�ENf RENTAL � HOUPS NATE <br /> � � <br /> � r k.9LQT --�?�����r-- -- _I I t' <br /> i -�-�= ' -- - , - - - <br /> -i --- ---- � = `� '-- -- - -- <br /> - ------ ��1��-��--- ---j-- -- - <br /> - -- ------ - I ; =� <br /> � - -- �'� -� �- - - - <br /> I - <br /> -- ----- _ -- <br /> I - ---- __ <br /> _ ---- ----�- -- -- - <br /> TOTAL <br /> REMARKS: - � <br /> — ___'�� _•._._ _ -� <br /> �. <br /> �� . <br />