Laserfiche WebLink
����• � �`/-3 J CITY OF EVEHETT eenwce No � 2 � 3 <br /> No. AppLICATION FOR WATER SERVICE ORDER <br /> � FIXlD <br /> ro pas�iNc_i_I_- -�� DATE��_,99� <br /> _ , � DErOfIT s IO S 6� No°- - <br /> s[IIVICE (\Y ADDIIpU ��3Q � '� �'�'� ��`� JC- BLK._ LOT � ADD.'�''-'�'�� <br /> OWNEI���'h-����� � ��^�� CONTRAGTOR <br /> IN6TAL�LY� �E—��gEqya �?�� � --- <br /> 1 NEREBY APPLY FOR THE USE OF WATER IN ACCORDIINCE WITM THE /� I' <br /> ORDINANCES AND POLICIES OF THE WIITER DEPARTMENT NOW E%ISTING _y _�� I( n�__ <br /> OR AS S�ME NAY BE HEREIIFTER CHIINGED. ncweo: % . 1�� ---- <br /> MAT[111h1� �IN. 1 IN.� 1 IN. �, � PNICE I�MOUh. <br /> PIPE GOPPER•-GALV.--STEEL <br /> GORrORATION =� , <br /> CURB COCK OT I I <br /> 6ERVICE BOX PLASTIC -- C I I <br /> METER VALVE _ _ _ _ ___ __ _ ._ __ _ <br /> _METER No. 7VPE: ___I_f _ __ <br /> M[TER BOX CONCRETE SMALL LARGE 1_ _ _ <br /> --_�—_l� _ . <br /> -- � �—I <br /> _—� � 1— — — <br /> � <br /> - --I �-- <br /> —J—_ <br /> � I I <br /> DATE INS7ALLED: I � OFF S �7 yI SUB TOTAL <br /> C��� LAlOR ANO EOUIPMEN�RENiAL � NO�R6 1111TC <br /> -----i�i�'�f � zr __ --�- - <br /> � �,,., . ,�,� ;;.- , I <br /> _ _I �___ � . .. . � . 1 T• I___ _— <br /> i �4�`I` '� � y . ( _ <br /> - ,l'��i��i. � . . ..�. . .._._ . � — <br /> I � <br /> I <br /> TOTAL <br /> REMARKS: ,�E'(y_G� # �i _____ _ <br /> ! <br />