Laserfiche WebLink
AFPL�� � ��L�.�/- � APPLICATION FOR SERVIC'c SF_RVICE�'1�� � Q �j � <br /> No. .�... )� / • _ <br /> CITY OF EVERETT WATER DEPT. oaoeR <br /> ��FiXED � DATE� // �� <br /> i"i --f--�-19— <br /> � DEPOSIT g �� <br /> —'_���= W.O. <br /> No.. <br /> SERVICE (9YAODRE65)���_ Th�LNTO/✓ �L �;��LLS� <br /> - —_OLK.__LOT-�ADD.._�%IGG-S T <br /> OWNER�__�G ��i� T <br /> � " FLAT ---CONTRACTOR <br /> INSTAL i —� � <br /> �—y'-�� SERVICE_-__ ____ <br /> I NEREBY APP�y FOR THE USE OF WATER IN ACCOROANCE WITH THE —� <br /> OROINANCES AND POLICIES OF THE Wp7ER DEPARTMENT N01Y E%ISTING � � � <br /> OR AS SAME MAY BE NEREAFTER CHANGEO. J� � <br /> �� _._� BIGNED:X�..`� . <br /> '�=__i.�'_ , <br /> IAATERIAL9 � �_�---���-� - <br /> � 3i IN.� 1 IN. I 2 IN. � PFICE 1 AMOONT <br /> PIPE .__'�Cp-`p��-- GALV.--STEEL ' � ��ry ��--��.-�J� <br /> CORPORATICN �I--I--I—I-- —_ �_��!.I� �/I/f0 <br /> «�Ra �o��K �T�� — � � 3•���_�' 25T _ <br /> SERVICE BOX PLASTIC -- C I� � — y ��!'--i-I ll_ <br /> ���q i� C <br /> METER VALVE - -- - --,e �_'� ✓I8g_ <br /> METER No. TYPE:_—_=—.__I —_� I—_ .I___ —.___.��—_—�I_._ __. <br /> METER BOX CONCRETE SM1IALL LARGE <br /> �� F--�—. <br /> I I <br /> - _ -- - C�= <br /> - ' ' �- <br /> -, -�--�--_ � <br /> _ - � � �- <br /> -- __ , , <br /> -_� � <br /> -i -�_�-_�_-�- - - -- - <br /> I � ON ��� <br /> DATE INSTALLED: � _ _ I <br /> n�OFF �i-�� SU6 TOTAL � �� �� <br /> CCDE I LABOR ANO EpU1FMENT RENTAL - I <br /> I`��T�� I HOURS RATG <br /> _�t--�si_;--1�- _" .____ . _-__._-. _ ___ I <br /> , � --I ----�I— � � Z <br /> _ ��1� � ���. � i, <br /> ' v i-7 -- �Z--j7ii 6 0 �I 9 � <br /> _—i�`I � _` —_.—__— --� .—___ <br /> 3� i <br /> =��s - ---- - ---- -- --- I z 3 ��'_Z_,00- <br /> I_� 3 �'y il 30 �"'3 <br /> I j� <br /> P.EI!ARKS: <br /> rora� � -r-- <br /> __��_-�-9 <br /> 1/ .� . _'__-__'_ � lc G' <br /> --- - <br /> -- — <br /> � - --- _.--- ---- --- - <br /> -- - - - � ---- --/- ---- � ._- � <br /> _ _i . <br />