Laserfiche WebLink
NOP�/��� �/' CiTY UF EVEHETT RDEIRE N0. <br /> laPFLICATION FOft CJATC-R SERVICF � <br /> � <br /> �"FIXED DATE _� _ � 19 �� <br /> � OEPOSIT �] (e)' `�� W. O. <br /> S c.__ __ . No.— '_ -..-_ - _ -_ <br /> SERVICE �ev�oDaEeel_��`�.�� (.��`�C["�'ll «L=-_1�='��-BLK._-_—LOT_�_-ADDYl�'��'�U��= <br /> / _C_ _ I�I�..--7� - <br /> OWNER Cl��N1� l�__._ __ _ '__CONTRACTOR. _-'_'_____. _ __- - ___ . _ -- - <br /> /J 1 � F <br /> INSTALL—L- ETERED SERVILE._�__ _ _ .---— .-__--_ -__- <br /> I HEREBY APPLY fOR THE USE OF WATEN IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER �EPAfiTMENT NOW EXISTING . <br /> OR AS SAME MA1 BE HEREAFTEF CHANGED. eicHco: X _ . _ ._._. <br /> M�TERIALS V� IN.� 1 IN. I 2 IN. � PPICC - AMOUNi <br /> PIPG • �' ' COPPER--GALV.--STEEL .ti t <br /> CORPORATION _._____��-�- -- --I__'__ _ ___ <br /> GURB COCK OT I <br /> SERVICE BOX PLASTIC -_ CI__ _ _ I I __ ,� __ _ <br /> METER VALVE i� .�� J __ _ — �' I'- -�- - �� . .. . <br /> _ _ . . . ._ I_"-- _ <br /> METER No. � � TYPE: V�'��°�.�` � I ` � <br /> _ __._.-'. __ _'- . T... . _ __L'__'-_ . . . _ . <br /> METER BO% CONCRETE �. ��� �� SMALL AR I � � II <br /> _-" _ '_ _. _ _— ____—_ . ' __ _. __ __ - _' . - ___-_ <br /> _ � <br /> '-_ ' , �I � . � ,t ._—, __ - -_ __- _ <br /> � /.- m-X <br /> -�—_'/_ ","_".- �_ _ _�. ' i �r �— � I__ _ . -_ _ <br /> � <br /> ,, �` � �,,, G b r -- --I / <br /> I � --t:� -- -- I L - - -- -- <br /> _ !' ',:! ,,:, � _ h <br /> i <br /> � � -- � - -- - - <br /> ON <br /> DATE INSTALLED: /;'� �_ �^ / ,� 7 I � OFF SUB TOTAL <br /> CODE ' LABOR AND EOUIPMENfRENTAL MOUPS RATE <br /> .. __ !/_� -__(___- __ _. . - _ -_ <br /> __ _ .__- _ _ ____ ___._ _ . __ _ -- . <br /> 1.% � ' <br /> _- _ _ _ . .__- _ _ _ ._ ". - - <br /> __ �� � r �r �o��_ �� �� 7 � , _ __ _ <br /> __ _ - - __ - -, - --- - - <br /> TOTAL I <br /> FE!.f/�RI<; <br />