Laserfiche WebLink
ArP�. 2 0 6 I 4 �,ppLICATION FOR SERVICE seavice j1�° 1 3 3 3 <br />No. ORDER ' <br />1��;:��t' CITY OF EVERETT WATER DEPT. �;�; �;. .,�� -� <br />, <br />� FIXED DATE�� �` � _t9�_� <br />i <br />DEPOSIT s ����1 , ' �y� �'�� '� <br />❑ /-`;. _ .� Nb: _ <br />i <br />// ` �. <br />�� �� �� �:Q--.' L � � .<.L, l �'_C �' % .. <br />SERVICE (BY ADOPE95) � � r 9LK.�/` LOT' � ADD.___:_ <br />O\YNER_ � CONTRACTOR`-_�,'-�� /��-i����L/ <br />FLAT <br />INSTAL� /l� � �#KT�U SERVIGE--- <br />� <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE , j � '� �� ,- <br />ORDINFNCES AND POLICIES OF THE N'ATER DEPARTMENT NOW EXISTING '�� / � ,� <br />OR AS SAME MAY BE HEFEAFTER CHANGED. sicnEo: X!�'-� ���'� ��-� � ���---�- ��'- <br />MATERIALS 3i IN. i IN. I 2 IN. � I PRILE � AM00.�T <br />PIPE OPPE'R -- GALV. STEEL 4� � �%�J II �IC g <br />CO�RPORATION /_ I �I -/3I�%� <br />FORB COCK C�_ .� __I___ I 7 V� <br />r_� � � � 7�;5 <br />SERVICE BOX �LASTIC •- C I _ _ <br />METER VALVE _ ___ <br />METER No. TYPE: � I ;1� � _ <br />METEP BOX CONCRETE SMALL LARGE _ I _ <br />II <br />� CN <br />DATE INSTALLED: , ` z �� •_ 7 � �OFF <br />CODE I LABOR AND EOUIP�I[NT IiCNTAL <br />�REMARKG: <br />%i ) J / <br />SUB TOTAL I //f �/J/ <br />MOL1p5 ,ftATE � <br />i� � I - <br />— �-- �- .._..-� �� / ; �—: <br />iI � <br />� � <br />I7� - --���.--I—_. <br />TOTAL��I '/ �II� <br />_—..__ .--__.\ __— <br />