Laserfiche WebLink
, <br /> APPL. _ ' 9� 4 2 APPLICATiON FOR SERVICE SERVICE N° 3 6 4 <br /> �� ORDER <br /> i9� �y �:ITY OF EVERETT WATER DEPT. ��_�i /'7 <br /> DAT 19-�— <br /> � FIXEU !7 <br /> � DEPOSIT S�i7C�J�4 W O• — <br /> SERVIi.F_ cevAo/pw��Bc ^��Lt'�� k]LK.J}��j—LO�•� <br /> OWNER�' ` C/{� —CONTRACTOR�-�� ��`+-� ^ <br /> ,✓/[,( 4KZ' . <br /> INSTALLL�--METERED SERVICE <br /> . <br /> I HEREBY IIPPLY FOR THE USE UF WATER IN ACCORDANCE WITH THE �.. <br /> ORDINANCES AND POLICIES OF THE WpTER DEPARTMENT NOW E%ISTING /,,C'_��,t c <br /> OR AS SAME MAY BE HEREAFTEF CHANGED. sicNeo: X—�� — --- <br /> MATERIALB Yi �N. 1 IN. I 2 IN. � � PRICE i�--�AMOUNT— <br /> p�pE COPP � —GALV.—STEEL �f� I � 'S� •' ��� <br /> — / �--- II � � <br /> CORPORATION — � <br /> CURB COCK OT I_ <br /> —, I I � <br /> SERVIGE BOX PLASTIC •• C 1 <br />= / _-� _- -71_ 3 3 <br /> METER VALVE �� � �/7� <br /> METER No.y;y�_�Y . �'��dS� TYPE:��.L . I '�, � " �3 <br /> METER BOX CONCRETE SMALL LARGE I_ <br /> ---�.-�r.-�- % I � �� �I�7 <br /> GY[." -7 -- — �j— � <br /> —li_� — <br /> I�— -- �� I <br /> ��I� � <br /> � oH <br /> DATE INSTALLED:) ,� _i � � OFF SUB TOTAL � �5 <br /> COD6 � LAPOH AND EOUIPI%�EN� RENTAL / I HOURS RATE <br /> �� —.�3—_ j ''�� � 1 I ]r. <br /> ;� <br /> � L.(, ) N+.i __ _—__ � I I_ <br /> � <br /> . ._ "_'" I � �! � - <br /> 91 _j ] U., � _ � �'.—. <br /> Icc��-c:<1% __ - I , <br /> --� `T� - - --� - ---,'- �'� - <br /> I _ I;� —s ,—'�'� _.i L__ <br /> i7 yc: ------�-7 j . / I'�._T �--- —I— =� — <br /> —' TOTAL I� <br /> REMARKS: — <br /> � � — _ —� <br /> T_�� os_------ —__ -- - <br /> _ '_—___' '— —'—___—____ <br />