Laserfiche WebLink
APPL. � � '� 3(� CITY OF EV[RETT $ERVICE N° ] O O � <br /> No. ORDER <br /> APPLIGATION FOR WATER SERVICE <br /> (M �r� <br /> DATE � ^_1_.----1G.2`-� <br /> � FIXED / C� <br /> -�� � DEW3ITs (CQ W.O. <br /> Na. <br /> SERVIGE 1�v�ou�un G'3/'3 - �d� '�'� SE� BLK._�LOT ADD/C���ti*�-'D*"""�- - <br /> OWNER�f��l''"t r.�-��:_�.✓ ��7�-�l GONTRACTOR <br /> `� � o FLAT `�^�� / u S- / <br /> INSTAL ETERED SERVICE LCC=.--( <br /> 1 HEREBY APPLY FOR THE lISE OF WATEN IN ACCORDANCE WITH THE � //JJ' <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �- ��t��' � <br /> CR AS S�ME MAY BE HEREAFTER CMANGED, slcnco: % -_-- <br /> MATERIALt Y� IN. t IN. � 2 IN. �� ' P1110E �MOUNT <br /> p�pg COPPER--GALV.•-STEEL � <br /> CORPORATION _ _� _ <br /> GURB GOCK OT I _ <br /> SERVICE DOX PLAS7IC -• C I I <br /> METER VAWE _ __ _ _ _ _.__ _ _ <br /> METER No. - —_- TVPE: I `6 ' —�----� - _ _ <br /> _ . ____-"'._"-I—. �__" _- _ - _ -_ __ <br /> METER BO% CONCRETE SMALL LARGE <br /> __ __ __ -I '__-_ - - <br /> _—I —�— — i <br /> I �— <br /> - a _-- ——I I - <br /> - � I ! I <br /> / I ON <br /> DATE INSTALLED: Y � �/ OFF SUB TOTAL <br /> COOE 1 LABOR ANO EOUIPMENfRENTAL I MOt1R5 RATE <br /> �I �P� 7 S�/D'L .. --I — <br /> � I <br /> I I <br /> _ - - �-_ _- - <br /> i __ __ I <br /> I -- - � - <br /> TOTAL <br /> REMARKS: � Q a✓`�� �f ��___ _ <br /> O <br /> ri � a .� mcnaoma 'oms �o <br />