Laserfiche WebLink
APPL. <br />� 9„a APPLICATION FOR SERVICE ORq �CE N� 4 4 5 <br />"°. CITY OF EVERETT WATER DEPT. � ,/� <br />�l��U DAT CCS/�`-1� <br />� FIXED C � W. O. <br />� DEPOSIT s �C L�. � � 1�� <br />�� ,�/1 , `� � �c . � <br />1Z'1 ��TL�/LQ / _pLK.__ LOT 'ADD. <br />SERVICE cer��� 7 / � � � J /r --_— <br />� ��(.�_�'.�_ CONTRACTOR�������� <br />OWNER <br />/, � FLAT � <br />INSTALL�--�SER V I CE_.---- <br />I HEREBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE W�TH TIIE <br />% � <br />ORDINANCES AND POLICIES OF 7HE WA7ER DEPARTMEN7 NOW E%ISTING �� ��f(i��/__ <br />OR AS S�ME MAY BE HERE�FTER CHANGED. slcr+[o:%_. �� <br />3i IN. 1 IN. � 2 IN. I I I P� AMOUNI <br />IA�TEHIALB � -��II I D <br />-J' � <br />p�pg COPP'cR 1 GALV. •• STEEL _ � _ � _ � <br />� �—' � �$ ��/�l <br />GORPORATION — ��� <br />_—, I �1� 7 <br />URB COCK � OT � I �� <br />SERVICE BOX PLASTIG •- C I _-- <br />METER VALVE —_.-I — ----- ---" I <br />_ TYPE: �S — — —' {� <br />METFR No. — — -- I �— <br />METER BOX CONCRETE SMALL L4RGE ��i 1 I I� I <br />� ON <br />DATE INSTALLED: �AFF <br />'i -.�( Lrt -- <br />CODE I LA0D1 AND EOUIPMENT RENTAL <br />IiEMARKS: . — � - --- <br />__ __'_ <br />'_____ '.__—_—'_ <br />__--_ <br />-�r�� ,l <br />_ _ _ _ ___ <br />-� �� - -- __ _ - <br />SU6 TOTAL /��/ <br />MOUHS RATE <br />� n.�. `7 ."' <br />� I <br />� �,,,��,��I�'�, Ic I'(�; <br />'il � . <br />— �, �— <br />_. - ----`—S- - <br />