Laserfiche WebLink
APPL���� / <br />No. � / / <br />� FI%ED <br />� DEP051T s 3S � <br />SERVICE Ur woo u7 <br />OWNER(� _ <br />CITY-OF EV�RETT pRDERE NO. �.i ? �s <br />APPLICATlON FON WATEH SERVICE DA�� 3/ —'�� <br />W. O. <br />NO._ _ <br />f//__ 7J/ � <br />-=G_5:9��`� �BLK._ LOT ADO. <br />INSTAL _METERED SERVICE_ _ _ <br />I HEREBY �PPLY FOR THE USE OF WATEN IN ACCORDANCE WI7H THE <br />ORDINANCES AND POLICIES OF THE WATEfi UEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. sIG ED: <br />M/.TERI�L6 �w' IN. I IN 21N. <br />PIPE �� COPPER -- GALV. •• STEEL _ I <br />COlIPORATION I I <br />CURH COCK OT � <br />SERVICE BOX PLASTIC •• C I I <br />METER VALVE <br />ME7ER No. <br />METER BOX CONCRETE <br />TYPE: I !f <br />SMALL LARGE <br />Rf ON <br />DATE INSTALLED: •�V <br />� �.- � _ � CJ ('J' OFF <br />i <br />COOE I LABOR AND EOUIPMENT RENTAL <br />I <br />� i <br />� <br />; <br />REMARKS: �JS � yXI�T(�j.L �Fi��� <br />1 1 ♦ � 1 <br />u <br />PRICE (I AMOUNT <br />I <br />ISUB TOTAL <br />HOUP9 pATE <br />f <br />• �_ <br />