Laserfiche WebLink
I <br /> i <br /> I <br /> APPL. �/ BERVICE <br /> No. G �p 9 �� CI'iV OF EVEHETT ORDtR <br /> APPLICP�tION FOR WATER SERVICE No � � [�� <br /> �� FI%ED DATE . _._ .3_'L __ �O <br /> � DErOlIT s ���__ W. O. <br /> No._—.— _ <br />� sERVICE ��rwooeu��-- I_3�J_ '���_iN.f)� JY_ __� _ _—_BLK..__ _ _LO7-_ .y__ADO.-L1110�1�B-f_LS_ I <br /> OWNER—� IIA..�DAI�/___.._-- _ __ _ _—_CONTRAC?ON.. ---__—_____._..— _. - . — I <br /> FLA _1- <br /> INBTALL�— ERED 9ERVICE_._._- . C Q(7(I! _.�—___ _ ____ ____- _ _ . ._ _ __ __ _ _ <br /> I HEREBY APPLY FOR TNE USE OF WATER Ih ACCORD�NCE WITH THE <br /> ORDINANCES �ND POLIfIES O� TNE N�TEP DEPARTMENT NOW E%IS11NG � — I <br /> OR AS SI1ME MAY B� NEPEAFTER CHANGED •icr�cn: % <br /> M�1[qleU $ IN. I 1 IN. PRItE ' eMOUNT I <br /> PIPE COPPER•- GALV. -� STEEL I � i <br /> _ _._._. ._ _—_______ _ ._.._ . _.__ — _`_.__ _ , . , _ _ . <br /> CORPORATION � � <br /> _—_______ _. ____._ _—_.._. __._ . _ .__.___- — —I_.____—_I. ____ . ___.- . <br /> CURB COCK OT I I li <br /> SERVICE BOX PLABTIC •� C I I � � <br /> _—__'. __ _ ._ _ <br /> _. . - ___ '_- __ <br /> ME7ER VALVE <br /> ____ _ _ _ _ _ _ _ . _. _ __ _—.— <br /> METER No. TYPE�, � �� � <br /> METER BO% CONCNFTE SMALL LARGE I _I__ ___. I <br /> _. _ —__' __". . i . I _�_ . . . __ ' � <br /> '—_ _— . _. _. I _ '_ I '_' . _ . I <br /> _ — —I _ — � <br /> — ____— _'. _ _ I—_ _ �. .. . — I <br /> � <br /> ___—__ .. _____ . . __ _ . .___"_._._"I__'___I . . . <br /> i <br /> ON <br /> ~ DATE INSTALLED: �j;; j� � !� i(i�:.0 I OFF SUB TOTAL '' <br /> COO[ � UBOR �ND EOUIPMENf RENT�L I MOURS R�lE <br /> � Cc;fJ t � <br /> ---- - __ � �' -,�-r�'.�� <br /> � - - � <br /> — — - - --- - -- --- <br /> —� <br /> --,—v�aas,o�/ ---- -- --i- - - --- <br /> � � <br /> -- - - -- ---- - -- <br /> �— ____ ___ _ <br /> � �- <br /> 70TAL <br /> PEMARKS: <br />