Laserfiche WebLink
/�� (�� SERVICE � 31 4 <br />4P�L � APPLICATIbN FOR SERVICE pRDEF N� <br />No. �/ CITY OF EVERETT WATER DEPT. �� l <br />�r, � onr�R'1�-_t � <br />r}r Fix� � E3..� w.o. -- <br />J�❑ / ��'�= No.--- <br />DEPOSIT g /`/� <br />SERVIC( Y� R[es).� �J/-�-��� �� —B�"K� LOT`.-L-�+DD.� <br />/ �� U�� � 7�-C <br />OWNE k "- L1�.--J..-_�_ _ -_;�- _--'-----__ _ CONTRACTOR--- <br />INST�FLA�T�� SERVIGE_-.---� ------- -- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ' � � �,�-, <br />OFDINANCES AND POLICIES OF THF WATER OEPARTMENT NOW E%ISTING ,, lI,� .� � �'� � <br />OR AS SAME MAY OE HEREAFTER CHANGED. <br />61GNFU: � - � - r� �- <br />?i IN.I 1 IN. I 3 IN. I PNICE �AMOUNT <br />NHTF.NI:.LS I L�I� I `�'7 I I� <br />I I i) <br />OPPER �_GALV. - STE'cL I� f � �� ^ I <br />I i <br />PIPE —_--i- /_'__I ..— I_— -__I il . J kA� <br />� <br />CORPORATION <br />U��B COCK <br />SERVICE ^OX <br />METER VALVE <br />METER ND. <br />METER BOX <br />CI <br />___ --_ TYPE:__ �_'� <br />CONCRETE SMALL LARGE_ <br />/ , .' , � :'. : i. �� +- '- <br />I � ON <br />DATE INSTALLED: �� OFF : � <br />�1L�;��� � <br />CO�E I LAUOR ANO EOUIPMENT RENTAL <br />F.EMARI(S: <br />TC�,�.�� � --- <br />' --_ _ __' -.__— <br />_L�...�_- .-.—__ ___ ___ .. <br />—�I��� ;' <br />L�t,- <br />_ �� <br />ii � --�- <br />=� <br />� , <br />SUO TOTAL I ��J %'"`� <br />HOUPS 1iATE <br />�� ' �r I �_ <br />II I <br />� -- �III I I� <br />�I I � <br />f I �- _ - <br />/- _--;_� <br />� ', j � <br />TOT�L I I� I � � <br />,�.___'__- . <br />