Laserfiche WebLink
APPL.V�I D��O CITY OF EVERETT 6ERVICi No ] O O O <br /> No, �°� <7 ORDER <br /> APPUCATION FOR WATER S�cRVICE <br /> � FIXED DATE_.����9� <br /> �_.� � DErOf:T � W.O. <br /> No. <br /> SERVICE 1��Y,���o. o�uq ��/_��� ��� � �� BLK._ LOTf�_ADL�� <br /> OWNEIKd�LSl - (:ONTRACTOR � ��_ � ��� <br /> �'` / AT �.qi/�� <br /> INSTAL�. ICE ��� <br /> � _�--__ <br /> 1 HEREBY APPLY FOR TNE IISE OF WATER IN ACCORDIINCE WITH TIIE /' / <br /> ORDINANCES AN� POLICIES OF THE WATER DEPARTMENT NOW E%ISTI�IG /� /�// <br /> OR AS SAME M�Y BE HEREAFTER CHANGED. •�cH¢o: X �_r�"�__ '� `�� <br /> MMEqIAU ' K IN. � IN. � 2 IN. �--(I-- ICE AMOYNT <br /> 1'�PE COPPER--GALV.••STEEL — �� � <br /> CONPORATION I_ — <br /> CURB COCK OT _— _ I � —� <br /> SERVICE BOX PLASTIC -- C I I <br /> ME7ER VALVE � <br /> METER NO. '_— TVPE_—_...'__. I .* __— __ _— _'—___ <br /> METER BO% CONCRETE _ SMALL LARGE I <br /> —_— _--I _� — <br /> NO�CZ.ON � --J-�-- - <br /> -_ __i - <br /> --W ill-�e1����+�seaice �f <br /> .,....rwtions �vitiioul a = --I I— <br /> BeckFlow Prevention Consultation I I <br /> � 5EE INSIqE I I <br /> I N <br /> DATE INSTALLED: �J � 4/ I OFF SUB TOTAL <br /> CODE � LANOR ANO ECUIPMEN( RENT�L � HOURS qATE <br /> �� -�-�� - __i <br /> i <br /> ' -- -- � <br /> � --- -- - -�-- ---- - <br /> _ , i - <br /> _i ----'- <br /> TOTAL <br /> REMARKS: t u, O <br />