Laserfiche WebLink
: <br /> p <br />` <br />�I <br />� <br /> L��,:��M�j SER VI�:E <br /> APPL�•T�� S , APPLICATION FOR SERVICE pRDER N� 230z <br /> "°' CITX OF EVERETT WA7ER DEP'T. � <br /> S --, . <br /> DATE -'C-__19_-L. <br /> � F IXED / ho0. <br /> � �' r_- <br /> -. � UEPO5IT g y , t' _ . <br /> � -� C, �,��C-e�-Re�� <br /> ' ' i '1 ,���l�.L•�.i:{,%`?--t .BLK._��LOT_ ADD. ---- <br /> ' SERVICE (erAooa[ss)--.� G L' _ ' <br /> � � � r �/ <br /> { � � �a-��/,R,{ ._COhTRACTOR- <br /> OWNE}i lL"ty _� . <br /> ' � �i�FLAT ' _ : <br /> �� fNSTALL-��—METEREU SERVICE----- � ' � <br /> � / � <br /> — <br /> j I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ,(((( -(// ^/ � Ij �,:f� ` /�Cc__ <br /> I Of<DINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%IS71NG SIGNFD:X!�-c'-�-'��--t'�=-j`-�-� �-�` ---� <br /> OR AS SAME MAY DE HEREFF7Eft CHANGED. <br /> MATERIALS <br /> % IN.� i i_N. ! 2 IN. � �, I PRiCF. AMOUNT__ <br /> � 7 � li <br /> �IPE COPPH -�ALV.•-STEEL .}C JI.—__'_---I, <br /> I CORPORATION _. II I I I I <br /> �—--__'_ I <br /> ' CURP COCK � OT -�-1-�—i� — <br /> I 5 6 BOX _ .��-ASTIC _-�}.iJ-�.I_{{_Ea{ -� -� ---- <br /> l_ - <br /> I METER VAWE __ __. __ --'—-I�-� � <br /> -'__—-- <br /> __.__-_- _. I _. <br /> � TYPE: '`b � —_' '- ._.__ _ -- __ <br /> ; METERNo. ____` ____---____.-.___.--- I <br /> -- I _ <br /> � METER BOX CONCRETE SMALL LARGE �___I -- -- - - -- <br /> I __.I___i. — <br /> _� I_I___ _- <br /> � ---—� I —. <br /> i <br /> --� _ —'� _-_ � <br /> �� ---- - -�----�---��-��- -- _�- - <br /> I ' -�--�---I-'�--- - <br /> I - -- �.( ON I I � I SUB TOTAL <br /> �9 � � � � k� <br /> I <br /> DATEINSTALLE�: �FF <br /> I HOURS R4T[ <br /> ��I LqBOR ANO LOUIPMEN�f RENTAL - - <br /> i <br /> -I-- - <br /> I _ - -_-_ _-_- - '� I <br /> � <br /> --"i-- ._. __- _ "__ � ✓ . _ <br /> ;� �`� _ <br /> _ -�--, <br /> ;-' r ---- -____;��__ --- �-_ __ _ <br /> � ---��-- � 3 .�,r i <br /> - - -- <br /> ; �-------- ---- - ,,- <br /> - - <br /> - - ------ --- - <br /> --- - i <br /> ----- - _ <br /> __ _-- - , <br /> ,- -- <br /> I_ � TOTAL <br /> I REIr1ARK5: ''�: �•/ •� . �- �.i �1 . . . . . _ . __.__- -_-_-_' _-'". <br /> . _-_ <br /> �, l � '4_J_.c_ "�"-'_---- � <br /> I -�- y.hGi,�,-" ___J.!!-_"'_"_ -__._. <br /> i <br />