Laserfiche WebLink
APPL���v� APPLICATIaN FOR SERVICE SER�9CE �_ � Zy �S <br /> O <br /> No. - ORDL'R <br /> ;.K��;r� CITY pF EVERETT WATEit DEPT. ��A , �� � <br /> �l FIXED • DATE—_ <br /> -��_"__i _-_ <br /> � DEPOSIT 5 ��' `� W.O. � <br /> - � Ho.-�--- — <br /> cC� ,L : <br /> ' % `f <br /> SERVICE �ey�onncgS���.�^__3-�L�F �'✓ ,/_.__BLK.� -LOT_-��1DD._ _. <br /> � <br /> / /:,,,1`l� ', ,,_� • .,J ' ��-�: 1 '�-�c:-» z,�.� <br /> OWNER__' _ �' _ -- �,_ _____. CONTRACTJR'—__ — l� � <br /> ' ' FLAT <br /> INSTALL�_��_'ME7LRL�SERVICE- --__ _.- —-_-.__-__._____ __ <br /> I HEPE9Y APPLY FOR THE USE OF WAIER IN ACCOfiOANCE WITM TNE ��/' /� / / <br /> CROINANCES AND POLIqES OP TME WAIER DEPARTMENT NOW EXISTING ' ` / ) / /.` J�— <br /> OR AS SAME MAY BE HERERFTEN CMANGED. eicrveo: X_�-IL.��,!��.1-��.Li�_ <br /> AUTERI�LB ?i IN.I � �H• I 2 IN. ' � PRICC AMOUNT <br /> PIPE COPPER GALV.•- STEEL 9� �� � _/07 �I �SL�y <br /> CORPORATION �_ I � I�_� ��_ <br /> —Tr <br /> �CURD COCK' O / I u � ' <br /> -��____- _ --_ _— <br /> SERVICE BOX � LA5TIC -- C I � I �I � �_ <br /> METER VALVE _ _ _ � __ _ __ <br /> METER No____.________ TVPE:__ _I f __I _ _I.-. ... _ <br /> METER BOX CONCRETE SMALL LARGE I I_ <br /> I__- — <br /> ��_�,��---� -I � J�i .�D�. <br /> C"� � -��U_ JZ I ! ry� I I '1�.8_ <br /> --I-�--I I ��`�l I <br /> - -- --- �-�-�-�-- � - <br /> - --_-__ --__ =1=;- ��--- ; �_. <br /> _ �-�-�-�- �--� <br /> �ON / <br /> DATE INSTALLEO: �. _ �y�- _,.7 � � � OFF ���i tr� SUB TOTAL I rpJ �� <br /> :� <br /> COOE �/� LADON AND COLIIPMENT RENT�L I HOlIRS RATE <br /> __�6i.✓1_4�_L--._---_ - -__._'__- ___ _ __'_______--_ I�-- .--•+ % 7 , <br /> I <br /> --- •�.� I 3 , � i'^ i ! ��_ <br /> � - I --II i <br /> ---- --- -- I --- � <br /> '�-- -- - <br /> , -- ---'I!-�- <br /> ----- - ----- -- - - ------- -- - ------ -� <br /> I � <br /> /� 70TAL J.S�I -� <br /> REMARKS: ' / �� I r� �. . . �/� ,... - .. . . ___'. .-_ _ �/ ��C^-r `/ / <br /> ��,i� _ _� -_ _ _ ��t__ . ,� r. ^ ' ��_ <br /> T�� _ _ ,_ -� <br /> �- �; . . ;� .._ 1 _ __-_-' __ _'_ . ...�-'-_ <br />