Laserfiche WebLink
prP� �` /�CJ� CITY OF EVERETT seav!ce N° 6639 <br />N�• OROER <br />APPLICATION FOR WATER SERVICE �"� <br />❑FIXED DA7'E_____�_�___18�L L '. <br />� <br />� DEPOSITs lQ(� W.O. <br />Na._ <br />Q (/-1�jo',�1 �"�7'7 <br />SERVICE (BYAODREe6)--�� `� (_I�'��_BLK._ LOT_-(__ADU.��� _ -_ <br />I)��-__�,y�� -_ - __- _ _ _ _ <br />OWNE _ __CONTRACTOR_ _._ _ _ <br />INSTAL �l`_�METERED SERVICE- �v_ �_717 �__ _ _ _ _ _ __ <br />I HEREBY APPLY FOP THE USE OF WATER IH ACCORDANCE WITH THE � <br />ORDINANCES ANO P�LICIES OF THE WATER DEPANTMEN7 NOW E%ISTING <br />OR AS SAME MAY uE HEREAFTER CtiANGED. e1GNeo: %_. <br />MATERIALS I ii IN. 1 IN. ' 2 IN. <br />PIPE GOPPER -- GALV. -- STEEL _ __I <br />1 - <br />CORPORATION _ � __ _ i <br />CURB COCK OT � <br />SERVICE 90X PLASTIC -- C I I <br />METER VALVE <br />METER No. ___ _ .. _. . TYPE: _ _ _ _ I . -- - -- - <br />METER BOX CONCRETE SMALL LARGE <br />_- ____- __ -_ _I________'-_' <br />. - _ _-_.___.._.I.-_I <br />DATE INSTALLEO: !/I I I [� I �OFF <br />COOE I � LADOR ANDEQUIPMENfpENTAI <br />�i <br />� � - r��-- - -- -- _ _____ <br />-- <br />__ _ <br />--� <br />- - -� <br />RKS: <br />I I j <br />� ----�-� <br />i i � �- <br />SU0 TOTAL <br />- - ... -_ HOURS RAT[ <br />_ _ <br />-- --� --- _ <br />-- i-- -- <br />--- -- _ - <br />i <br />TOTAL <br />