Laserfiche WebLink
A��L. �� " r SERVICE <br /> CITY OF EVERETT r •� r <br /> No. y � � � � qpPLICATION FOR WATFR SERVICF ORDER �\ E).)Q�[jy) <br /> DATE_ _ - /��IOUJ <br /> � FIXEO TO POSTIN6 < <. <br /> DE�061T C�-- �� W. O. <br /> ❑ �_� '__- No._ _ __ '_ __._ _ <br /> _ _ '_"_ <br /> lERVICE I�v�oo�un�<'�� LLL1��l/��_ ��\ _ _,�'�_._BLK __ .-_LO7 . . .ADD. _ _ � <br /> � �./ � � ,( _ I/ f // <br /> OWN[R�.L.(..�.L��1_. 1, ._ ._ lL..'.(1-JL-�--- - � --CONTRACTOR _...__ � <br /> . . __ _ _ ...__ _ - <br /> i) �� FL.AT �- __ .. .._ .. 7 � z � <br /> INSTALL,__�y�L1EF£kED SERVICE_ . _ ` . .� -�(_-_�yL. .S . <br /> I HEREBY APPLY iOR TNE USE OF W�TER IN AC[ORD�NCE WI1N THE ` .� . � <br /> OHOIN�NCES AND POLICIES OF TME W�TEH DEP�RTMENT NOW EAISTING / <br /> OR AS SANE M�Y BE NERE�fTER CX�NGED •IGNEO: % . /�.i `.. l�_ � F(.� '�.. <br /> M�T[RI1L• M� IN. 1 IN. i 1 IN. � •MOIINT <br /> PIPE COPPER �� GALV. �� STEEL I I <br /> ..__ . _ __- _ _..— _ "'_.. ._ .. ____ _ _. _f __ i . ___' __ <br /> CORPORATION � i ' ' <br /> __ _ . - _.—____ _ _ __ _- ____ _ . . _- . ,. . . __I . _ . _ __ <br /> CURP COCN 07 - I �' ' � <br /> SERVICE BOX� PLI15tIC �- C V � I <br /> —_..� _...... .""_.._. _ _ <br /> METER VALVE <br /> METER No. }- I'' J ._ . ��-��TVPE�Z(-C(�Y(.OY�,� '� I .. _ !, -_ _ <br /> METER BO% CONCRETE SMALL LARGE I <br /> . ' _ ' _______ <br /> __— '.' __ _. . _.__. _ . . _ - .. —I _I__ _ _._ — i <br /> - —I _ — <br /> � <br /> — ____ . __._ . _ _'___-__'- —.- __.__'__' _ _ <br /> _ <br /> . _._ I _ _ _ -_I.—' _ - . <br /> _ ... __ __ '_ . _ II _I—I-__ '- ___. . ._ ',I <br /> ON <br /> DATE INSTALLED�. �-/� _ �7D � OFF SUB TOTAL <br /> / <br /> �CUD ! LIIBOP �NO EOUIPMEN! PEN��L MOURa R�TE <br /> ���L"1 r � _ - - _ . - . <br /> , i <br /> - --- - ----------- �_ _ -- <br /> -- - ----- -- i -- <br /> ---- i _ _ _. _ <br /> ---- <br /> � <br /> --�- _ --- - _ _ � _ __ <br /> TOTAL <br /> REMAPK4.��. -L=LctEf'L LL-��� � .����•J� • <br />