Laserfiche WebLink
� <br />APPL. <br />No. �f�y CITY OF EVERETT snHvicEN� � � 5 � <br />APPLICATION FOR WATER SERVICE n/ ORDER <br />�FI%ED � TQ �OSIING_� (-��! '���v DATE�__�p� <br />� oEros�r s /O� <br />w. o. <br />/1 No._ <br />SEIIVICEI�Y�Ooe[����1�7— "� r' ICJ� �� BLK.. LOT�ADD. <br />OWNE � � �=S _CONTRACTOR <br />� FLA7 -- -- <br />INSTAL METERED gERVICE_____ <br />I MERElY APPLY FOR TNE USE OF W�iER IN ACCORD�NCE WITM THE — <br />ORDINANCES AND POLICIES �F THE WATER UEPARTMENT NOW EXISTING �/�%'" � � <br />OR AS S�ME MAY BE HEREAFTEN CHANGED.— ncHEo: X �v»�iv-w ��-ij(�.,Q_pn.� <br />M�TERIALi �� t <br />K IN. 1 IN, i 2 �M' I � I PA��E il AMOIINi <br />P�%'E COPpER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />EERVICE BO7( pLASTIC •- C I <br />METER VALVE <br />METER No. _�U� 3� ._ TVPE: E�G-w�I _`y � <br />ME7ER BOX CONCRETE SMALL LARGE <br />I � I � ! I � <br />DATE INS7ALLED:O �,�� � I � ON <br />S.f / j � � OFF SUB TOTAL <br />CODE I L�BOq ANO EOUIPMENf RCNTAL NOURS q�TE <br />I I <br />-I _. __. __- _ --_I <br />- - -_._ __ I <br />- -____ -- -_-�_�O� _I___ _--_ <br />—� ----- Wil D� t�ken on servlce� <br />i -------�plica ioi ns wliheut a � — <br />—. ------ --Backil��o.....,._.�_ ,. <br />TOTAL <br />REMARKS: <br />