Laserfiche WebLink
APP��/ / � I <br /> I <br /> No. �� �?r -t;ITY OF EVERETT � seavice � <br /> APPLICA`. IOP FGR WATEF SERVICE ORDErt NO. .. <br /> � irIXlD DATE___iy�_3___1B� <br /> DEPOSIT 00 <br /> ❑ S oZG�C� � W.O. <br /> No.______-- <br /> SERVICE t�r woonu�����+Z /�y_ AM S_�Q�%�= BLK._s�_�—LO7��DAoo. �/NE/IciHs7 <br /> OWNE � /�N �S� /NC • ___ _ CONTRACTOR___ �Jr tr <br /> A <br /> INSTAL � METERED SERVICE __.____ <br /> -. .. _.__ _ �'—'_--__.—_—_._-- <br /> 1 HEREBY APPLY FOR THE USE O� WFTER IN ACCORDANCE WITH THE � -- �� -- <br /> ORDINANCES AND POLIGIES OF 7'HE WATER DEPARTMENT iIO�H EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. s�cNeo: <br /> MATERIAL6 I � INl.I �� �H� I 2 IN. I I� ppy=p ; AMOUNT <br /> P�PE — COPPER- GALY.-_STEEL _��J � J—�I <br /> CORPORATION � I � <br /> CURB GOGK OT � I � <br /> SERVICE BOX PLA6TI - C I � �� <br /> - �'— ___ _I _ <br /> METER VALVE <br /> METER No. _ — _—'_ TYPE: ___�.� I y, — _ --' — <br /> � __. '_'_ .--�--_—_ --_ <br /> METER BOX CONCRBTE _ SMALL LARGE _� <br /> �-X 1{.,3'o-S3/ Tr�P .S'�DO� L-. l _ � I I <br /> I— �—I—��— — <br /> ------ �—�I���— — <br /> -- -i--�—i—J--i--��-- — I <br /> . DATE INSTALLED: �_Za` � � I � OFF SUB TOTAL '� <br /> COqE ; LABOR ANO EOUIPMEN'�RCNTAL I MOUR9 qATE <br /> � —a-4"-/-G_�___� � <br /> — -�,�C h'N .f e N i �-� , <br /> --i ------ — ---,— !�-- --_-� __ _� i <br /> — ---_���__ � 3.�5" I {— <br /> — -- -------�G z � S' <br /> --�-- <br /> -- <br /> - -- ---------- <br /> � --- -- —-- <br /> � <br /> _ TOTAL � <br /> REMARK3: <br /> '_"_"_'_ . - 1 <br /> J <br />