Laserfiche WebLink
ApP�.f�''� APPLICATION FOR SERVICE SER\'ICE N° 5 3 O <br /> No. <br /> � .� <br /> ClTY OF EVERETT iNATER DEPT. �ROEq <br /> / �' <br /> �����.�1 i J I . /� .- <br /> .�'FIRED CAI.E� .' . .. --7 �P�_� <br /> � DEPOSIT g :�� ( � Cr. <br /> �' W. O. <br /> \ ' � �No. <br /> J / d +J <br /> SERVICE o j,�� 4� C�-77 �. C iC� - L /•�. <br /> ( �ADpREE31_'___ � 5 � Ci <br /> f_-` ��r �ELK._'_LOT�-"L- A�D._—__- <br /> OWNER-__ �—t� , . L �:_�iy�(/ r ✓£ ;y.;l �. <br /> _CONTRACTOR <br /> ���� / " FLAT -- <br /> INSTALI__�L_µ�gD SERVICE_-__ _ <br /> I HEREBY APP�y FOR THE USE OF WATER IN ACCOROANCE WITH THE � - <br /> OR�INANCES ANU POLIQES OF 7HE WATER �EPARTMENT NOW EXISTING ' � � <br /> OR AS SAME MAy DE HEREAFTER CHANGEO. ��i� -, ,._(_I /,T-_`i�� � <br /> SIGYED: X -�_f� _�'�_ <br /> t.^.ATF.RIP.Lfi !i IN.� 1 IN. I ? IN. .�. . <br /> � PqIC[ AIAOI)NT <br /> PIPE � - <br /> � COPPER-GALV.•-Sl EEL ' � I I I / ,� <br /> .'._ __- �-I—'_— _ � � � �Jl��i <br /> COFPORATION _ / i - -'— _ <br /> CURB COCK � I �� � � <br /> �� / I <br /> SERVICE BOX . PLASTIC �- C 1 r I I �-^ <br /> METER VALVE �-�� <br /> __-__. .. __'_' I <br /> METER No. — '-'�- <br /> TYPE: � 3S � <br /> _ � <br /> METER BpX CONCRETE _ SMALL LARGE _ I <br /> i <br /> - —,J . / I �I_-_ '- f I1_'`,_ <br /> _ , ��, — � �� �� �� -. <br /> __ �� i— <br /> --- �_� �-- <br /> � <br /> i I � I <br /> . , I � ON <br /> OATE ,NSTAI.LED: , OFF SUB TOTAL i� <br /> �oo� �� � ��.-� �� <br /> LApOp qND EOLIIPNENT PENTAL I HOURS qq7� i <br /> _—__� I . I !� L� __ <br /> v —�_ J_. <br /> I I I <br /> I ' , / � �I � '/ �-___. <br /> _I -�--- --ii I , <br /> --�----- ----- -- I= --„ �- <br /> _� ' - - -- -�'=-- � � �� -�-�---- <br /> - - TO ^L I �•� <br /> REMARKS: i <br /> -_ -___'__---____- <br /> . _ _._ . .. . . . -____ . <br /> ... . . - . . . _. . _ _ _ .. ._ ._ ...__ �;___'_'_. <br /> � � - . . ��< _'1_,_. <br />