Laserfiche WebLink
NOPL I� /'� CITY OF EVERETT ORDERE <br />�c� 7C_-' I APPLICATIp�V f-ON WATEE SfRVIC[ �J°�` _5� O ] <br />� PI%!D <br />DA7E_.__. ._ifi sa��� <br />� DErOs1T s �� N G._ — _ . _ _ _ . __ _ . <br />. '/ ,1 <br />sERVICE ur �oonnn_ �7� I I (J.I -�_ ���_-�- - - - BLK. _ _ -._LOT . ! . .ADO. . ._______ <br />II6TALL � �"-� L ED 6EPVI�..� �. . . . CONTRACTOR_� -i.l.(A_/.N "- . _. ._ _ _ _ - I <br />I NEREBY �PPLY FOR THE USE OF W�7ER IN A[CORDANCE WITH TNE � � <br />ORDIN�NCES AND POLICIES Of THE WATER DEP�RTMfNT HOW EIlISTING �/ / ` <br />OR <5 S�ME MAY BF. NEREAFT:F CN�NGED �icr�cn: %J� 7a-GLZ- L`�. rI�'�*'�'-��� <br />MhT[RI�L• W IM1. � 1 IN. i! IN. � PRIC[ �MOUNT <br />PIPE ��� ��' 66Pr[R--GAl-M�-3�TtCt . O_ I '� I I� <br />_ .' _._ _ . __'_—" i <br />CORpORATION ! j_ �� <br />cune cor_K _o�r B// 333It.) .-- _ �— �— --�— <br />SERVICE BO% _ PLASTIc �- G I � I <br />METER VALVE <br />MlT6R N4 . _ TYPE� . � �_ <br />METER BOX �6CNG1rCTE���� SMALL LARGE __ <br />�ic�i��voc f �l.so ��.�/n w -�1�� -r�� : � I <br />rr�---- _ _ z� -�- <br />��--- _ I� I <br />��.sQz.�---- __ _ � � : _� _ <br />---- — - - _ _!---�— <br />�,� , <br />/' �l' ON //'}..� <br />�ATE IN9TALLED. �/y' �.�/'� I � OFF `� ���%� ��%���L� SUB TOTAL <br />COO[ i L6BOq ANO [GUIPMENf REHTAI HOU�f' R�TE <br />_-- _---C��$��OI - <br />--' - - - <br />I <br />- - -- - <br />REMARK9: <br />��_ l/17��1A1�i%0� <br />�QQ .STf.t.CS�7H . <br />�3SN'� - <br />- 1/3� <br />TOTAL <br />