Laserfiche WebLink
H������ 7O '-i,'1�1' OF EVERETT OROENE NO. . "�.� <br />o. � ��; . � . , <br />APPLICATION FOR WAl'ER SERVICE � <br />�.-nxio o�re- ����L— --�o� <br />� <br />❑ oe�osir s__ (�'c c`��' F w. o. <br />� � y — 9�`'-S P/ No.--- — - - -- - <br />. s', _ . - <br />—�., u Q�_ A. � ! r n / <br />9ERVICE ��r �ooen �- --- .. _ ---- --- -.A'l-- � .:.-1-7'--�oT_. % . _�o�1Rll1.�+C'�I.7Y_� <br />OWNCR�LU��D� �'-F_ _____.—._. _ _..__ ___CON7RACTQR__--_ .. _ ..__ . - _. _ ._ _.-____ <br />� � q�— <br />INBTALL. I _ _ ETERED BERV __' __ _.'___.-__- "_'__ .____ __ ' . _ __ '. _ ' . _ . ' ___ <br />I NEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITN THE . /� � <br />ORDINANCES 11ND POLICIES OF TNE WATER UEP�HtMENT NOW EI(ISTING ��/ <br />OR AS S�ME M�Y 8E MEREIIFTER CH�NGED •IaN[D: X ����._'1Y4:(��h��i_ _ _ <br />M�TCRII�I• W IN. 1 IN. �! IN. � I PRIC[ I �MOUNT <br />PIPE COPPER •- GALV. •- STEEL I � <br />__ . .. __' " . _____ _._'_'.—__ I_—__ ._ I . _ __ — <br />CORPORATION I I � <br />_ _____— _ _, <br />CUNB COCK OT � � -- ---I-�_-'. ...� � ����� �— <br />SERVICE BOX PLA9TIC �� C I ` <br />METER VALVE <br />_ ME7ER No. .`. _J z 1_ TYPE: I__ N- _ <br />HETER BOI( CONCRETE SMALL LIIRGE <br />- -- � _�---'. - �---� _ <br />� � I � i <br />Ky ON <br />DATE INSTALLED: L/- `, �}�l � OFF SUB TOTAL <br />! <br />E00[ I L�BOR �NO EOUIPMENfRENTAL MOUR9 RATE <br />__Cf�K7?�/fCr�"�"' _ '�dLllst({" I _.4�,. <br />� <br />— - - _ _ <br />� <br />� --_ �� �/ �3 <br />-, -, <br />-�- -- <br />TOTAL <br />REMARKS: <br />. .II . _ -_�- <br />