Laserfiche WebLink
Ar�� ' ���a� APPLICATION FOR SERVICE GEnVICE N° z Q] <br />No. o, <br />\'j�,��G7 CITY OF EVErZETT WATER DEPT. �[ , �%/ (/% <br />fX FI.�CED � U/ c2"�' _fYl <br />r � OqTE _ <br />L1 LicPOSIT /CO. nG� _�� <br />S <br />�N <br />__ _ <br />i + <br />:�!a. <br />� <br />SCRVICE�BYADDRESS) .. �`O:� _ `- � Dn � � <br />-- --- —�---- � -��r.. _ '-�T j"J�-� ^\ , /_ _ _ <br />OWNcR_ . . - _ _GDNTBACT -_' �� L( �y/ <br />- -- - - �i�� '�D_�w, - <br />'� rLAT y-j�- <br />INSTALL-/�".blt--rrrn_�ERVICE'__- ..__._ _._ ___'________ � <br />HENEBY APPLY FOR THE USE OF WhTER IN ACCORUANCE WIiH THE � <br />OROINANCES AND POLICIES OF THE WATER DEPARTMENT N�W EXISTING / <br />OR AS SAME MhY DE HERESFT[R CHANGED. ��?�� G,/�f/n� <br />6IGNC�::: (/V •-I<rL <br />2� __._ <br />�tiTLHI1L5 I" I J 1 IN. I 2 Iry• ', I Fli:CE �I ANOUNT <br />F'�PE _ '�( UPFER - GALV. -- ST:EL p ��7 I <br />"��._ I. O/ I I I I ..�/� I � �-ri � <br />Cy0 _RPORATION __---'_-_ - _ <br />'�URB COCK� _ OT _ <br />se�vic[ oox (p�ne1 <br />-__ <� <br />AfETEi2 YA.LVF' <br />METEft No. � � <br />METER BOX _ CONCRETE <br />•• c I <br />TVP[___ _._�- I f5 <br />SMALL LAFGE <br />i <br />_ _ -. _- _--. "-'_-__I'-_I_-i� <br />_-_ _ -.I--._-I__- _ _— <br />—�I'__ _ <br />I <br />�I - � <br />_ _.�_- I _ ..� <br />r, <br />I � ON - �- <br />OATG INSTALI_�D:�� /_ ! �! GFF /� SU� TOTAL �i /�I/� <br />1 � <br />COOE I LAbJRANDEOIIIPMCNiRCNTAL HpU�� p�7C I; <br />i <br />I ��� <br />1 <br />_.____._- _ _ ___---__ __ — • _, 4 � � , <br />,' "_ "_— ___—_------ i ___ __�.. .I. __—I _ ___ <br />� / —_— —. _ <br />4, � <br />�� � ---- ----- � o li I i <br />_ L_ <br />— ; —�/. ��� ,� —i-� � — �l � — <br />-�—i— — 4- '�-1—'1--L� — �' �' ' ! -- �' <br />—, ---- — -- - --- ic <br />TOTAL <br />RCRiARKS: <br />_s- <br />