Laserfiche WebLink
qpvi � �V�7 <br />tJo. <br />ho3�"�- - <br />� FIXED <br />�UEPOSIT s � ,_ `y `j <br />SERVICE (BV ADOREy88�)� <br />OWNER���i l�-1 • � <br />APPLt.;A'4;ION FOR SERVICE <br />CITY OF @VERETT WATER DEPT <br />F <br />G, <br />�j � � EreYl� <br />INSTAL J�_F1E�ERLO SERVICE_01Lt-1�� _ <br />I HEREBY APPLY FOR THE USE OF' \YATER IN ALCORDANCE WITH THE <br />ORDINANCES AND POLICIES OP THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. s�cNeo:X._ <br />MATERIALS � �ti IN. i 1 IN. j 2 IN. <br />PIPE C�OPPER�- GALV. -- STEEL 1�(p' I I <br />CORPORATION l �— <br />CURB GOCK OT � ~—I <br />SERVICE BOX PLASTIC -- G 1 __ �I_ <br />METER VALVG <br />METER No:J!(; 1 _- I.3:iY�jJ � TYPE: ��T ,/�.,_,�[< I�6 <br />METER 9UX CONCRETE ( sMALL LARGE � <br />� ON <br />OATE INSTALLED: <br />Z_ ����_ � ; �OFF ./)/ <br />C <br />CODE � L�BOR ANO EQUIPMENi RENTqL <br />SERVICE N� � O � �� <br />ORDER <br />9 J� ��� <br />• DATF�e/y" �_C,JZ/ 18� _ <br />W. O. <br />No. _ __ <br />—LOT ADD. _ <br />PRiCE �j AMOUNT <br />SUB TOTAL <br />HOURS � RATE <br />� � e �� � <br />� (.' - <br />I <br />� � __-- . � v1. � _�. � `' � i � G e,- <br />� <br />I <br />�� TOTAL I� ��� <br />REMAftKS: <br />O U� ` -- ----- � <br />;. <br />