Laserfiche WebLink
1 • BERVICE � � ', <br />NorL �zsf,� '�' CITY OF EVERETT ORDER NU. <br />APPUCATION FOR WATER SERVICE D�7E_��/�P -- --�p�� <br />u FI%ED QD W � <br />G DEPOSIT f, _�O_ _ _ __ No. - �- , _� <br />. <br />9 1i <br />�I�_ l-��-�_�- "`�lLGf/_ ' -'-.BLK. � _LOT � - D. _ �. ��. . . <br />BGRVICI: I�Y �DD ��I-� �7/ .... �K_�!G <br />7��c� I // CONTRACTOR. _ _ � ��-' -- -' <br />OWNF.R--_ �ai-��. �sJ/ _. y Ce� _ . <br />i� �f] _ <br />INBTALL��'�—METERF.D SERVICE_-- ------ --�- -"� -� �-� . <br />/ _ �_ <br />I HEREBY APPLY FOR iNE �SE l�F WATER IN ACCONuANCE wITH TV�E /` � ^ <br />)RUIN�NCES AND POLICIES OF TMF. W�TF.N DEPARTMENT NOW E%ISTING slcn[n: X/_ `--� ��� �- ' - <br />4H �S SAME MAY BE HEPE�FiER fHANGED. <br />1i IN. I I IN. � t IN. I PRIC[ ♦MOUNT <br />MATERIAL� �I�+�-� I _ I�� <br />GAL`� -- "+TEEL I _ .. <br />PIPE COPPER - . . .' - _"'_ _ <br />CORPORA710N _. _ . _ _ __. _ _ -.-- -- <br />-- - -- <br />CURB COCK �T . _ . _ _. _.. <br />SERVICE BO% � PLASTIG �- C I ____ <br />METER VALVE - - <br />METER No � TYPE'. I �� _. <br />- -_' <br />METEft BOX CONCRETE SMALL LARGE <br />-__ _ _ <br />_ . . ._ ___I.__.- <br />` I � ON <br />DATE IN9TALLEU: /�rQ �� 4 � OFF <br />7 <br />COO[ I L�BOP �ND EOUIPMENfRENTAI <br />� I <br />--- - <br />_ -- <br />— _II � � r��/ ._ <br />_ _ __' [�l �J3f• <br />- -- <br />_ _ <br />REMARKS�. _ . _ ___ __. <br />-- � �-- <br />- �- �-- <br />JI :l - : <br />i '_ — _ <br />� __ _- <br />-'_ _ _ <br />I -_ <br />_I I - _ <br />SUB TOTAL <br />MOURf R�TE <br />S� Te�C ' i � — <br />I� <br />�_, R«<�� � �, --- <br />�#- z ii l � - --- <br />TOTAL <br />