Laserfiche WebLink
SERVIGE i <br />nPr�. �/� CITV OFEVERETT ORDER N0. <br />No. G'�-�-� / qppUCATION FOR WATEfl SERVICE {J� p� C i <br />DATE6f�G' ap . 1B0 . <br />n FIXED L� � � `Ol rWic,�. <br />� ,, DEP091T ��� /�/ �- � <br />/ � y�) ,���[ ��� <br />BERVICEisnr�nonu�///JJJ�-c��/�7 �V�� �'�`.l4�C..'�9LK. --._LOT �� A'�o� �'�)"�r�' <br />OWNER._C .�J � "`�'���� � �� �_CONTRACTOR Il.• � �- -�%'�'�T��I� <br />!%/ <br />� / ���' � <br />IN9TALL� _- -METERED SFRVICE. - ' .T. � <br />I HENEBY APPLY FOR ,NE ❑SE OF W�TER IH ACCOND�NCE W�TH TME C!l <br />OPDIN�NCES AND POU]IES OF TME WA7ER DlP�R7MENT NaW EXISTING �iaNc�: %� ��"��=`---�� -� - <br />UN AS SAMF MAY BE _�AE��TER CHAHGEO – <br />1 IN. j I IN. PRICC hMOUNT <br />M6TERIAL/ - - <br />W IN <br />. . I <br />' ' COPPER �� GALV. -- STEEL 7� I �--- <br />PIPE .� . . . . . _ .__ � - . _ _ . <br />CORPORATION !I I SOO,S ' � � � -- -I � �' "-- I � <br />-. _._'_ — _ _ <br />CURB COCN C�T �', I � '' � � <br />_'—__. ._ , � � �__. .+ . <br />SERVICE BO% PLASTIC - G � . I <br />METER_VALVE . II_—I <br />METER No. TVPE� • .. <br />METER BOX CONCRETE SMALL L�RGE � <br />_ _i-�ISu73 � ,; ---� <br />(G . �,��, w,�_ _I7�o� _--I-. . <br />-- - — - - � <br />- <br />-- -- � , <br />� __ .. - - <br />------ ._ _ - � <br />!1,/ ON <br />DATE IN9TALLEO: 3– � T7 7 I � OFF <br />L.� <br />LABOR AND EOUIPMENfREMTAL 1 y <br />CODE �. �.�. J� �'� � NI` <br />/l, atw�t'__' �-} „ <br />��-h/ �� „ <br />.�,�6Dy �l ,� <br />� <br />SUB TOTAL <br />HOURS � A��E <br />�9s8��'/ <br />REM�RNS�, --'--' -.._... <br />