Laserfiche WebLink
�� <br />: <br />� <br />� <br /> NOP `"�'����� SERVICE <br /> CITY OF�E�/ERETT ORDER NO. <br /> APPLICATION FOR �NATER SERVICE <br /> '/ %� <br />� Uv DAT - -�—�9i/ <br /> �' FIXED �� "/ <br /> __-� W.O. .__ <br />��'� � DEPOSIT s . . . No.— — <br /> �d6 � -3-� -r� �� d�/ fv BLK._ LOT�AD�J�-, {,��._- <br /> SERVICE (ar woonees� �/ � <br /> OWNE � �r_ /�� ``—�'r`— —CONTRAGTO ���'`� -��� �2""c/��' -. <br /> �, /1/ � LAT_-- --- <br /> INSTAL .L.�METERED SERVI E�---- <br /> I HEREBY APPLY FOR THE USE OF WATEP IN ACCORDANCE WITH THE p�, " �C1/ <br /> ORDINANCES AND POLICIES OF 7HE WATER DEPARTMENT NOW ERISTING eicHeo: X�_��,Q,=Vr'-l�^-�� ��Y--- <br /> OR AS SAME MAY BE HEREAFTER CNANGED <br /> �i IN. 1 14. I � �N. L_� � PRICE AMOUN f <br /> �I�TEHIALS _ I <br /> "-PIPE �� C� L°i.I__ COPPER •-GALV.-- STEEL '%��� _��I-�L.�_ _ _ <br /> CORPORATION _ _—j— -- I - <br /> CURB COCK OT _ }�--� ---- <br /> � I I <br /> SCRVICE BOX PLASTIC •• C I —1--- - - <br /> —_ i _. <br /> ME7ER VALVE <br /> -'_ <br /> _-_� —_—_— —_ <br /> - _ --- <br /> _' _-_. I <br /> METERNo. 7 /�I'[-�'-��� TYPE:�bA�{L4�I ii _ -- <br /> �.,'-T�?_-__- ' f <br /> - ��� $7iC "M.l.y LARGE �--�-� --- <br /> � METER BOX CONCRETE�E�. __ __ i � <br /> /" �-�+- /.S'.' 7 3 ___- --- - -- ' --- II�I i <br /> -- ` ;� /-/- I.i'a :t C �I— �1�J,— — - <br /> — ! I <br /> . �f,�� — � — — — 1 <br /> —�,�cu/�t7 cr h'G�YQ -- I ' I --- <br /> �— - --- � � � � � 1 <br /> I �'oN <br /> � �% _']� I � �FF SUB TOTAL <br /> DATE INSTALLED: �r "�� . � — <br /> LABOR ANO EO�'��MEN'RF.NTAL I H�URS RATE <br /> �O�E � � I <br /> I _—_ _ . --_ / � <br /> _� � -- <br /> _ ,�� - �� j —� — <br /> � �,_ , � —. <br /> I �/ - _��'2 i i. -�-��— --- <br /> �O�—T-a --�� —__�'<s:�� I �_ <br /> --� --- -- -----�f?1�--�� _ <br /> —� — � -- --- � <br /> , __--------- _ I I <br /> -I — TOT'.4L <br /> REMARKS: -T <br />