Laserfiche WebLink
AYPC.' �{.. O v 1.� � APPLICATION FOR SERVICE SERVII:E y° 9 6 S <br />No. OROER <br />��. �_� % CITY OF EVERETT WATER DEPT. � I, :� � <br />.- DATE'.. �'_I,'�__—'_I9�.�-�/_ <br />� F�XED <br />r� DGPO8IT s_/'/--�(_ �!. W. O.—' ___. . <br />� � �. � <br />SERVICE Ie�AqoREssl ' --- 4~. - - - "� � -- --- --.�LY..-__.._-LOT_,'•1 AO�. - -� <br />. . , <br />� /j i ,i, r - `- �_ ' J . _.CONTRACTOR__. �..-.��-�.�1L '_. _ <br />OWNER—___. _ _ . ._ __. . _'— _ _ __ _ _ � <br />�I rt�rr r - --- � <br />INSTP.LL�_.- ---METERE� eERVICE_._ _ . . - .----- ---- -----�T------ ---� -- <br />:?'__ ,'/ <br />I NEHEBY APPLY FOR THE 115E OF WATER IN ACCOROANCE WI1N 7HE /� � <br />OROINANCES AND POLICIES OF THE WATEP DEPAflTMENi NOW EAISTING sicweo:% .. /"-- (�-=��'��-'`- <br />ON AS S�ME MAY BE HEREAFTER CHANGED. -��- -- �- - � <br />MATERI4L8 ii IN.I 1 IN.' 2 �N. I � � PPICE AMOUNT <br />PiP[ COPPER__ ALV.--STEEL_________'_��ji�'_I �_'��J ����-_ <br />-- ------ — �,r�.� _� �. _1���'� =�/���/. <br />, <br />CORPORATION _ _ _ _ _ _ _. �. .tK�_µ� -'� --._ � ..-- <br />CURB COCK OT __ _ __ _�__._— � ' ---- <br />_ <br />SERVICE 30X PLASTIC -- C I �I <br />,- _.__ __ �_ __- ___ - ._ _-__. _-_- _— <br />_ METER _YAiV�_��':1C,f-; _-�i,'� �I �) . �' J . <br />METER NlY. y j� - TVPE� � r� I <br />- —�3{at �� —�-- <br />_ METER BO%_ _ CONC:RETE _ SMALL ���GE` <br />� <br />-- ---- ---_ l_�La�r�,a,.�G <br />— --���dC <br />- _. ,�� . <br />_ -- -- -�- ;.4 � <br />---- _�/s�:,t��s___ <br />— -- ------ ---F-S��i z_,Ce�r:Lt�_ <br />DAl'L INSTA�LED: � ` <br />cooc � <br />-� ( i-1.._ --- <br />..,. <br />_'1�L�1 L � <br />_ _._'�,�...-��: � <br />n <br />I n oN <br />_-C_ �: ��� OFF <br />r <br />LABOf1 AN�lOUIPMENf f1ENT�L <br />' y,1 - ----- - � -- <br />,-.-. f�^.LU_. .-.__----_._._. <br />�L ` <br />t � � <br />IiEMARKS: _ __ _ �1 �,.� ���4A <br />,• • <br />- SUB TOTAL I . j��`�� <br />! <br />HOl1R5 IlATE <br />.S - � �-=-� i ��, - <br />__ _. __-_.. __._ . I -� <br />�- _ _�+� _ <br />1- � II_L I"'. <br />— _ � _--��_1r�_- <br />_ _I <br />--- ---�---- - � . . _1� -��'-. . <br />� . .�. ". � . _ ___� . <br />-- -- - . . _ . - � � �,, � <br />_ �� _� �...�....t <br />TOTAL <br />