Laserfiche WebLink
A'F'�'L• �OO � � AP.PLICATION FOR SERVICE SERVICE N� ]�2 ] <br /> No. • <br /> CITY OF EVERETT WATER DEPT. oRoeR <br /> ,, <br /> �FxEn�' onrE-.;t� ���r� i`�—ie�•r <br /> j ' � .. <br /> � DEPO5IT S C����. / JCi J - W.O. <br /> � No <br /> rl, � . <br /> 3ERVICE �nr�ooncee)-11 � `��I-»Zl� G.• � (_�/ ,' �-,, �. , ��•IAD����li` ��C{/�l <br /> BLK. LOT �.� <br /> L �� �.1 � <br /> OWNER_, CONTRACTO � �1 Jir,L/�� <br /> �NSTAL 'L-�'�%/ / FLAT ----- — / i � — — ✓ <br /> ME�E$E0.EERVICE . <br /> I HEREBY APPLY FOR THE USE (�F WATER IN ACCORDANCE WITH THE • � <br /> ORDINANCES AND POLICIES OF ThE WATER DEPARTMENT NOW E%ISTING I ' <br /> OR AS SAME MAY BE HEREAFTER CHANGED. BIct�Eo: X � i� �vl�� � ___ <br /> MMEFIALS � IN. 1 IN. 21M: <br /> I- ��T� PRICE AMOUNT <br /> F'�PE COPPER--GALV.--STEEL '�'r�� <br /> -�—--� -- � ,56 � <br /> CORPORATION I i <br /> i <br /> CUR6 COCK OT � —�— ��� <br /> SERVICE BOX P�_ASTIC -- C 1 � I II i /.�G_ <br /> �7 _J <br /> METER VALVE I <br /> METER No. __.__'_ 7yPE: I eS -- <br /> METER OOX CONCRETE SMALL LARGE � I <br /> �� •_, ;` ,� -I- <'� rl P �. �- _� �� ,3 g- <br /> � �a, ,;� . ��� i_ — — r �— <br /> — � I o <br /> -- - — � <br /> I I I I - <br /> � UN � <br /> DATE INSTALLED: � I �^ r C I ��FF �'�. I� � SUB TOTAL /� 7�} <br /> �t. <br /> CODE I LA90p ANO EQUIPIAENT RENTAL HOCiS HATE <br /> , _ , , � � . ; i <br /> � l.I.a , n�� r � ( � ��; i � �, � <br /> � t,� ,� �`,� —I -- --;; ,'JI! ' <br /> � �— <br /> ----- � �' <br /> - — -- — � — Ji_ i <br /> � ' ----- ----- -- ----------�-- ---�' � <br /> ��� � � TOTAL ��I�� <br /> REA:ARKS: � ' <br /> ' � . <br /> - 'P �1 r r �a _ � i -L ,. . . . .� �. .( .� <br /> '`J �//` — , _ --'; --- -- - -- <br /> ,. _1 -i---�'- - — - �_ . - _ % <br />