Laserfiche WebLink
SERVICF_ <br />AP � �.�� CITY OF EVERETT OROER NO. ' <br />No. APPLICATION FOR WATER SERVICE <br />D ATE� '-3 6 . -18-- <br />� FIXED � W. O. .__ __ - <br />j�, DEPO5IT f p�C,J ,J. _ �/ No_ -- --- <br />-� - -�' J'�.Z /'y- / <br />SERVICE/ �pr�/ DOREso) u ��-�/ -�Y/-'C - ____BLK..� LOTJ-� -A����' <br />UWNER'i--'i..f-- y-� -Y�V`-� `�-' . _ _ ONTRACTOR'__"- _.' __-_-. .--._— - . <br />3//J FLAL� -_---__ —_. _ _ - _-- __'. <br />INSTALL_J ETERED SERV -- I - - --'--' --- � <br />-F- -�__- _ " <br />1 HEREBY APPLY FOR iHE 115E OF WATEN IN ACCOR�ANCE WITH THE '��/�� x�' <br />ORDINANCES AND POLILIES OF THE WA7EN DEPARTMENi NOW E%ISTING e1GNEo: ��`=- �� �, ��T� <br />OR AS SAME MAY BE NEPEAFTEN CHANGED. rqicE •MOUNT <br />M�TER�AL6 �/ IN. � 1 iH. I= �N. I <br />- -'�_�-�---�_� I� <br />COPPER -- GALV. ^ STEEL <br />PIPE _ <br />CORPORATIr�N ______ <br />CURB COCK �T _ <br />SERVICE BOX _ PLASTIC _ G 1 <br />METER VALVE ----- <br />._-�__ _ __-_- '__ __TYPE I ',A <br />METER No. _ __ __ _ __ -- - -- <br />METEFt BO% CONCRETE SF!ALL LARGE <br />i <br />--- . —�- � <br />�ATE INSTALLED: <br />��� <br />COOE 1 _ <br />r � <br />- ---- --II <br />I � ON <br />� OFF <br />LABOR AND EOUIPMENfRENT�L <br />SUB TOTAL <br />NOURB� RATE <br />REMARKS: — _-_. _ ____--_'_--_- _"__-____ .'_- _ -' <br />l <br />( <br />C'. <br />