Laserfiche WebLink
APPI. I <br /> No. �'�'3�9 CITY CF EVERETT ORDHR� NO. i �� <br /> APPLICATION FOR WATER SEFVICE // J � <br /> � FIXED � DATE.�fyyi��D�g� <br /> � OEPOSIT s �� � W.O. •�� • <br /> —�� No._ <br /> SERVICE �ev�oonf�s7�_.�� � _.�Q-�py_BLK._ LOT_?�.�Q'yf•� � <br /> OWNER,.GS{-LLVG/�+P�,��YL¢O�/_ ___�__CONTRACTOR_ <br /> FLAT --- — <br /> INSTALL _METERED SERVICE <br /> I HERE9Y APPLY FOR TNE USE OF WA7ER IN ACCORDANCF WITH THE <br /> ORDINANCES AND POLICIES OF Th.E WAIER �EPARTMENT NfW E%ISTING �� <br /> OR AS SAME MAY BE HEREAFTER CNANGED. BICHEo:�% �t(-/� �_-� _ <br /> FIATENIpLS <br /> ;i IN. 1 IN. I � � L� � PRICE AMJUNT <br /> PIPE __ COPPER• GALV.•-STEEI. I �I I <br /> CORPORATION <br /> _'___ �—_--I I'— <br /> CURB COCK OT _ I I I <br /> _SERVICE BOX__ __ pLASTIC -• C 1__ I <br /> METER VALVE � <br /> METER Na. . __— _—_' _ _ '__TYPE:—_.- '._ _—_"_I 6 I ._ —__ _-- <br /> METER BOX CONCRETE __ SMALL _ LARGE I <br /> ___—' _ I I <br /> ____—"—_ _ I —�;____ —'—' <br /> -- ' _—I �-�- — <br /> __.. —____ — _'.—I_ I _ <br /> —__— _--__ _ --_� �,—�� �— — <br /> I <br /> IL—�'{��2 I ON <br /> DATE INSTALLEO: � OFF SU6 TOTAL <br /> COOE i LABOP A(JD EOUIPMENfRENTAL � HOURS pATE <br /> --�-- -- �--- — - �I--'-(� -- -- <br /> _ . ___�'--� <br /> — — ---- ---C���4/�e�_� „ <br /> � _. .��1v � �_ '� -- — - <br /> -� - y��5� _D I--- --�--- --- <br /> -� _ _ _ . ----- � - <br /> , � --- - - - � --- - <br /> TOTAL <br /> REMARKS: <br />