Laserfiche WebLink
i� I�-�s o - - <br /> a��$ .���,�� <br /> No�� CITY OF EVERETT oRoi� ]�(° 6493 <br /> APPLICATION FOR WATER SERVICE , <br /> DAT[ � ��1�� <br /> ❑ ""`° oo TO ��NG �`01 �°°'�';°. <br /> � D[rO�IT i (� '� 1 <br /> ! \_� <br /> \ 4�U l A .Vi 1 IoY�I 1 <br /> SQRVIC� I��ADDII[N/�I ��.K._ �OT ADD. <br /> OWN[I!_�A�C_� GONMACT011 <br /> r <br /> �N�TAL M[T[II �D f[11VIC <br /> I N[RE�Y A�►LY FOII TNE U6 N ACCORDANCE WITN TNE <br /> ORDIN�NCEf AND ►OLICI[S OF TNE W�TER DE�AIITMENT NOW EtISTING <br /> i OR K S�ME MI1Y �E HEREIIFTER CMIINGEG. •ioH[O: E. —.------ <br /> MI1T[111�1� Yi IN. 1 IN. � 1 IN. I ��� AMOUNT <br /> r�pt COrPER-•GALV.•-STEEL � � <br /> CORMMTION � . <br /> CUI1/ COCK OT I <br /> •[11VICE SO% PLA6TIC -- C 1 I <br /> M[T[II VAWE __ -- — <br /> M[T[R No. ��.�_. TVPE: _ I 1S _ _ _ X - _'—__ <br /> MET[R �O% CONCIIETE SMALL LA11GE <br /> eAC,.f� ...� ;,�-•,r^-i�M ---I --- <br /> C9NSULfA�ION L�.:��1�'� � - <br /> OATE - .-a --I —— — <br /> INITIALS �.�?--- � — <br /> � � <br /> � � ON I I <br /> DATE INSTALLED: �_/� _ �Q I � OFF 5US TOTAL <br /> COD[ I LA�011 11ND[OUI►M[NT 11[MTAL NOUI1f 1111Tt <br /> �^ � I _ <br /> I _ I — <br /> I I _ � <br /> I _" "_ I <br /> I <br /> I <br /> TOTAL <br /> REMARKS: <br /> 2 • - ' ` __'.'_ __ _.__^ ___—__.-.� __—__' _ - —_ . . ^_ � <br />