Laserfiche WebLink
� / 88 3 SERVIC N� 6 5 8 <br /> APPL -APPLtCATION FOR SERVICE ORDE <br /> "°. CITY OF EVERETT WATER DEPT. <br /> �-�/- ..�� ?� <br /> p'ATE._,�-- -1 <br /> �!C:' 'i • <br /> � FIXED W. O. _ <br /> � �-G) � Nu. <br /> � DEPOSIT SJ�__ �, ��� <br /> �� � G,-'LCC��t GJ..:..:i��_�LK. LOT_L'%=--AD�.-� <br /> � � �. <br /> SERVICE (UY AODRE88)-- . �C����'J/Lf.-,i , <br /> _CONTRACTj /J�� -' ,� ll� �� <br /> OWNER / „ - � ���0� - �2��I=�J�� � (il/.J <br /> IN6TAL <br /> L�L�M�ET RED SERVICF J <br /> 1 HEflEBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH �HE / � r t`— /%r -�l � <br /> 61GN[D:X . /� <br /> OR�INANLES AND POLILIES OF THE WATER DEPARTMENT NOW EXIS7ING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. pq��E AMOUNT <br /> MATEFIALS ' � �N' �Z'�N. I �� <br /> / <br /> PIPE PPF.R- ALV.--STEEL / II � �I_��V� <br /> .ORPORA710PI . I I�i I_ <br /> CURB COCK �T '- ��I I <br /> SERVIGE B�X PLA571G •- C I I --�� <br /> s � --_ -_ <br /> METER VALV� / __ <br /> NcTE�L( O�/Z� TYPE:��/G�!L� �5- ! _ -_-__- - _ ... <br /> -/ <br /> SMAI_Lr._ LARGE.__-L- - � /_�11- <br /> MHTER BOX CCNGRET�_.___ i «, V <br /> ,S'.J����� 1 -� I <br /> -- -_ -�-�I �I <br /> - - �'- I <br /> - --- -- �--', -- --�� <br /> _ �-�---� , <br /> ❑ �N � SUB TOTAL J �f <br /> C.� ._,:L S �G� I � OFF ?Zl�/ � <br /> DATE INSTALLED: � Houpq HATE <br /> LAOOR AND EQUIPf.IENT RENTA�- I - - , <br /> COOE j � <br /> r �F, --- � � I _ <br /> ��"�1��%�z -- ---��-� �-���� _ �� � <br /> -__�;��____- --- I- �__--I�''_�_ <br /> � -- -------- --- --� �I---)-�-- <br /> TOTAL i /n�I <br /> //� :___ '/ _ <br /> .�-' / � ���jjj ��/ � � %I S7 is � C:l_ � `" <br /> REMARKS: I�,`f_1S-J�L--�%E��� -��- -___-, ,- <br /> . . -__._-__ _--.____.___--- - <br /> ___'_.. ___ '___ _."'_' <br /> -'_-._ <br /> 1�-�---� `�--'-- --- <br /> � <br /> 1 <br />