Laserfiche WebLink
} _ ' <br /> ' APP��292�� CITY OF EVERETT SERVICENo ] � 4 5 � . . <br /> No. OROER <br /> APPLICATION FOR WATER SEflVICE /_ <br /> DATE�(�L�19_ <br /> �lXED <br /> ❑ o�ro.�T , /D� TQ - ��CTiN�_ ��-- �d '�t/j/��� N o. <br /> t3ER\'ICE l�r wOo u�l /D/��— ��"�T�,�" ��� _BLK._ L0T.4�AL�L1 '� n/L�—�y� <br /> OWN[ �J ��---�/ GONTRACTOR <br /> [� F T <br /> IN6TAL��7—�ERVICE <br /> � XERENY APPLY FOR THE USE OF WATER iN ACCORDANCE WITH TNE <br /> OR�AS SAME MAY PBEL�HERE FTER C ANGED.DEPARTMENT NOW E%ISTING ��cr+eo: - -- <br /> MI�TLRIAL/ � �N. 1 IN. � 3 IN. � A�CE AMOUNT <br /> P�pE COPPER••GALV.-- STEEL <br /> � CORPORATION — � � <br /> GURB COCK OT _ � � — <br /> $ERVICE BOX PLASTIC -- C 1__ I _ . <br /> METE1! VALVE _._—.. -- — — <br /> METER No. `��_ TYPE: i„/%�rel.._-�—�.I __ _____ —__— _.— — <br /> �y.,,, <br /> METER BOX CONCRETE SMALL LARGE _ _I_ __ _ <br /> � —__' — I � _ — <br /> � I <br /> _ — —I --- <br /> � <br /> � � <br /> �p ON <br /> �f' SUB TOTAL <br /> - pATEINSTALLEb: ��Z 2 r s'3 f'� OFF <br /> LAlOR ANt)EOUIPMENfRENTAL MOURO NATE <br /> GOD! � _� <br /> �� . - _._____--I <br /> � I <br /> � '--_—__—_—N@_-AE996Pt---I _ —_— <br /> ' --—- ---yV en on service I <br /> I <br /> I _ Backflow Prevention <br /> .� I TOTAL <br /> REMARKS� '1 I , _- <br /> O� <br />