Laserfiche WebLink
� �� <br /> � � � <br /> � H <br /> 9Hy <br /> y�H <br /> �t C� <br /> H � <br /> � H � <br /> � H <br /> � O� <br /> Hd <br /> Q H <br /> H h � <br /> �� n <br /> 9H� <br /> r z <br /> ~ y N_ 7349 <br /> g y H APPL. �{� ,Q S �, .Z- CITY OF EVERETT OROHR E � <br /> � �� No. qPPLICATION FOR WATER SERVICE <br /> �� C OATE__� '—/J_'__79��L <br /> � � FI%ED � <br /> y o y , ❑ DEPOSIT i �C S`- T� POSTING i - "� W.� __--_— <br /> No._ <br /> � � � � � S t �/.2 �, w" �mYrr/�.'.��- . <br /> SERVICE IeY A�P[o�l—/�-��.='J--- '�-2C� BLN._—LOT ADd'_-j .. <br /> / <br /> OIYNEp t��t � et-�'�`-�.lv�'-�_.� �� C� CONTRACTOR -- ------ <br /> �: � FI.Wt��. . ___�-�L�7> .7 / � _ _.._ <br /> INSTAL�. f.8.Y1GE-__�_ - . _—" --- _-_ _ '__-- - <br /> -_' _ - �� <br /> I NEREBY �PPLY FOR THE 115E OF WATEP IN ACCONDANCE WITM TNE ' „ � <br /> ORDINAHCES AND POLICIES OF TNE W�TER OEPARIMENT NOW E%ISTING � <br /> OP AS SAME NAY 0! MERE�FTER CN�NGED. BICHEo: X . _ . - ---�- -- - - - - � �-- --- <br /> MAtERIALS � �N�I � ��' I � ��' rq� AMOUNT <br /> PIPE COPPER--GALV.--STEEL __"_"__�___ __ —I__ <br /> _ —__ _.---_—___ . __ �—"_- _ "_ __ <br /> CORPORATION I _ _ -_ — I - .-.-- — <br /> . GURB COCK OT _ I �I_ _� , <br /> � �� ---- -- � --- <br /> ' SERVICE BOX PLASTIC �• C 1 <br /> � <br /> ' METER VALVE � _ _ � .. ._- -__- -_- <br /> . _ "_ _ - - � �_ � - __ I <br /> I METER NO._""_______ TVPE. . _ . . . _ ___.__,' _ _ __ _ __ — <br /> (� _- _ _ I'___- _-�- " _ __ <br /> ' METER BOX CONCPETE SMALL IARGE <br /> ..,�, - � � <br /> --- - - --� -- - - -- <br /> � --�-�'- -- - - <br /> _-i I � <br /> 1� ------ -- -- <br /> ' - - ----J--�- --- - -- <br /> -- -- . ---- - I <br /> � 1_, '"—_ N--I—.. __ _�_ -_-,—. '__ _-- <br /> Z I �� SUB TOTAL <br /> DATEINSTALLED: ,�L1�I I � I OFF <br /> LOOE I L�BOR AMO EOUIPMENfPCNTAL HOURS R�TE <br /> !�� <br /> '��' I �O L' 7� Cl ' ' . . __. .._ <br /> -I <br /> - I <br /> I �� 1 _ �._ _ �___ __ _ _ <br /> ., , ,. __ <br /> � _i � --- <br /> -- - -- - - <br /> ----- - - - ---�- <br /> - - - -- -- <br /> � i ----- <br /> -� - - - -- - <br /> - -- --- ----�-- <br /> _ _ -- <br /> � <br /> � TOTAL <br /> __._ ,- ,'7 (�Cj!C-' <br /> REMARKS: ' - -;P�C.�'ii" �� ) � � . _ _ . . .. _ . <br /> i __-_- __'_ <br /> ...-__. _ _L__ '!L�._____�. _ _.. __._ . ... __ . <br />