Laserfiche WebLink
NOPL. '/ .M / � <br />`;� ;� �� <br />��IXED (/, <br />� DEPO5IT s I � / ' <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />SEFVICE �J� I !; % :. <br />ORDER <br />1 -7�/ <br />DATE-_ ' ___� g ' 7 <br />N��� <br />- _' <br />.�a�� s � 1 �tin � 3�-��-� <br />SERVICE (BYADOPE59)__ ✓/J S p f)N f OLI(.__LOT__pDD,. <br />OWNER _CONTFACTOR..CSJ_��_A/��O/�NSO � <br />3 �/ FLAT -- <br />INSTAL ERED SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE 1YITH THE �� � ). <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING � ' <br />OR AS SAME MAY BE HEREAFTER CHANGEU. SIGr�Eo: W.-�_« � s__.I ��;,'�. �_,?.. _. <br />tdATER1AL5 �q IN. � I IN. I 2 IN. <br />PIPE _ COPPER J GALV. -- STF_[L __� <br />CORPORATION _ _ / <br />L <br />CURD COCK OT I <br />SERVICE BOX _ PLASTIC - C I� _�y � / I <br />_1 <br />METER VALVE <br />METER No. ______ TYPE: __'_'_ I-}a—_ <br />METER BOX CONCRETE SMALL LARGE <br />�Y?C .l .. . _ . ^ � i - <br />� ON <br />DATE INSTALLED:,� _ ; _ ��/ � OFF <br />Y <br />CODE I LA60q AN� EqU1PM[NTpENiAL <br />I / <br />� <br />- I���������{�• / —_ — .___ <br />--_ .E�'_�-��i� �'-#���� _ <br />—.--6XLG��'A1iC.'-- =�J6'� _ —_.--__ <br />PRIC[ <br />_ 11B TOTAL <br />� HOUR5 � IiATE <br />TOTAL '! I <br />REh!ARKS:_ �J �_. __—_ . <br />—' "_ ..._ .... ._. . _._. .._ __. _ <br />_ . _ ___. .... . __.. <br />_ . ._. _� �.� L� . __ _' <br />