Laserfiche WebLink
AFPL. /T�9 7 APPLICATION FOR SERVICE <br />N�. ��Ty EVERfTT WATER DEPT <br />��v Id /L-�.ittie.c-c� �__ <br />� FIXE <br />7 —�—_ <br />� DEPOBf" § �ICI C L•. '• <br />� ��� _��� � _�LK.— <br />SERV ICE f BY AOOREII6) � <br />CONTRACTOR—. <br />W NER <br />I�h9 M�t��I � FIAT '_'—_— <br />.µr.r{.p�0 SERVICE— ----- �— —� {, <br />I HEPEBY AFPLY FOF TH'c USE OF WATER IN ACCORDANCE WITH THE � <br />ORDINANCES AND POLICiES OF THE WATER DEPARTMENT NOW EXISTING slGr+e . --- <br />OR AS SAMf. MAY 6E NENEIFTER CHANGEO. <br />AIATERIALS J ai �N• I 1=N. � 2 IN. <br />/ — 1 <br />COPPER • GALV. �� STEEL `% C_I__ _ <br />PIPE ----- <br />—.�—�_ � <br />CORPORATION _ -----� — <br />CURB COCK OT — <br />SERV�CE BOX _ PLASTIC •• C I ___ � <br />r- <br />_METER VAWE __ __ �--- � --- <br />TfPF: `S _ <br />METER IJo. -------- <br />METER DOX CONCRETE _ SMALL LRRGE _ <br />,r ' �� 1 <br />�-- -- ..'r i I <br />_ I � ON <br />� OFF _/ <br />DATE INS�ALLED:,� ,�i -� 7 <br />I , LPBOP AND f.0U1� IENT RGNTAI <br />CODE <br />�G21S-�.___ ___-- _.—___— _ _ <br />I�-- —_. <br />I _'._ —__— — <br />_— <br />� h `� - --- -- -- - <br />REMARKS: <br />SERVICE jJ� � � <br />ORDER /� <br />�� � <br />DATE_— I <br />w. o. � �� <br />No._.�-- <br />�_'_____- <br />I SUB TOTAL � <br />i�ouas a�Tc <br />- �'� -- - ` --��� �- <br />����_��,�,�I '�iii.� _ <br />�-- — —I II _ <br />___ I. _�— _ — 1,- <br />_ —_ _"— i' <br />TOTAL , L�^'� <br />-- - - - <br />----- -�i { <br />---- - — � <br />