Laserfiche WebLink
.��. <br /> _, j <br /> �',C�.a 1 �"' <br /> IvoP���J ��� �� •CITY �OF EVEFiETT SERVICE <br /> oROER PJO. <br /> APPLICATION FOR 'vVATER S�RVICE � �� // <br /> G FIXED � DATE—� /�I ,877 <br /> � OEPOSIT S L��)�i= No�_ ----- <br /> �. / /�1 �- --� U✓@tt/NLl�=,'�. <br /> SCRVICE (BYAO�RE86)-�C7ny�--�-L�L �U� ����---BLK.__—LOT_Z-ADD.�_�"K��--- <br /> • <br /> r� �_ <br /> �{-/�-�� r /�t- L(�/ HM�'- ___CONTRACTOR__,��Z_ --------- <br /> OWNER�!11_G--- - y � �- � <br /> .��� LAJ <br /> INSTALL�� _��El) SERVfGE_--_- --- ----- ----- --- -�------ <br /> I HEREB'f A L FOfl 7HE USE OF WA7EP IN ACCOROANC! WITH THE ,�/J�� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �C="'' . - _ <br /> OR AS SAME MAY OE HEBEnFTEf2 CHANGED. e���E�: ` -- -- � <br /> '"- --! ATEP14L5 �r IN. 1 IN. � N. �I I PRI E AMOi1NT <br /> �� !�_ <br /> p�pE CUPFER -- GALV.--STEEL I� I <br /> CORPORATION -- �--- ___'__ _ -�_I—� �� <br /> CURB COCK OT � -- -- <br /> 3ERVICE BOX PLASTIC: -- C I I I _ _. <br /> METER vALVE ___ . ______. __. . .- .-_ --_—_____. II __ _ -_-_— -_ -- <br /> METF.R No. T7PE: I `.e <br /> —'_ _—�.--I__'_ - ' <br /> _- _ .__—'-_.—_____ '___'__'_. -'- <br /> METER BOX CONCRETE __ _SMALL _LA.RGE ___ . <br /> -. . � -�--'-- --�� _ <br /> _ - ---- ----1- --,-- , _ <br /> _.__ _ __�-,_ -�-�- -1 ___ <br /> _ _��_;_�- _ __ <br /> _ ---— ---a_—;----,,— i - - -- — <br /> �, oN <br /> DATE INS'iALL�D: � � /;;+� I � OFF SUB TOTAL <br /> COOG I LABOR ANO EOUIPMEIM1f REVTAL 'i HOl1R5 RATE <br /> __II ____. _ —_._-�__._—___- " ''; L''.r'll. _--_II_ '+ - - _ <br /> — ,��C�. - ---- . � ,`, i I — <br /> _� `1 ���-- — ---- -- _ <br /> �--� ----�---��� �--- —I---- -- <br /> � —I--- — <br /> —I ------ ---—--------------- ! <br /> - ----�----- ----- �—�---- <br /> —j--- — ------- � I <br /> TCfAL <br /> / / � <br /> REMARKS: J ��� . ! .I� / d-:'Y�C.'._'-�-r�L�- "` -�`�' ����-- "� � <br /> (_Dri l7�C �J_-1L1-�-F L�Y= J 1 �Un <br /> _-_ �_'�_--."�- <br /> 1 <br />