Laserfiche WebLink
A��+f� �� <br />No. <br />i <br />�ITY OF EVERETT BERvice . , � <br />ORDER NO/� .'. i <br />APPUCAiION FOR \NATER SERVIC.E //�� —'B� <br />DA'f�E�-�� <br />� FIXED <br />� Y/. n. <br />� CEPO3IT s �__ _ No.__ ----'— <br />� <br />BERVIGE (BV ADDN[BB)��� --/�--y =�-��"�+�LK._—_—LOT_� .� 1 � <br />! L� y� <br />OWNE� � CONTRACTOR____—_ .—_ _ <br />� � � .� -���'..,� --- - _ -- <br />�r,-�-._ <br />INSTALL METERED SERVIG ;_�---- -� �- -------- � <br />I HEREBY APPLY FOR iHE USE DF W�TER IN ACCOROAc10E WITH THE �^ <br />ONDINANCES ANO POLIQES OF THE WA7ER DEPANTMENT NOW E%IS71NG eict+co�. X._ —. -- ---�----- <br />OR AS SAME MAY BE HEREAfTER CHANGED. �---�-- <br />MATERIPLS I 6 tN.l I IN. i 2 IN• I � j � PRICE �I AMOUNT <br />PIPE ��c $Y /� COPPER -- GALV. - STEEL . <br />C__ _— <br />CORPORATION ____ <br />GURB COCK _ OT __ __ <br />SERVICE BOX PLASTI �•• C 1___ __ _ <br />IAETER VAWE --_. �i���'�+.i/-,�_ ._ _,._�.�'_. <br />METERNo�JS�._.l f�_ TYPEc_�f7l�!V�' `G <br />METER BOX GONCRETE ___ _ 5MALL__IARGE <br />� 3 - - ---- ---- --- <br />1 yr oN <br />DA7E INSTALLED: $/�j/ / 7� I �� GFF <br />COGE � r LAOOP �HD EOUIPMEN f pENTAL <br />-I--- -- -�3� � � <br />� � /�� <br />--- <br />--- - <br />_ - -- <br />-�----------__ - ---__. <br />REMARKS: <br />i i_' — _ <br />�_— __"___ — —"—'._ _— _— <br />I- _� I'_ -- --II'_— __ <br />� �' - -- -- <br />'- - - -- - - - <br />�--- -- -- <br />� -�- - -- <br />I---�- i � - <br />� � � <br />5UB TOTAL <br />-_—�— � HOUNB RATE <br />' � --L� <br />1ia....•.n* �. — <br />I <br />.�-�._, / _ <br />�� -�- �-�-�i (- - -_ _ - <br />--- --; --- -- - - <br />-�-- --- - ---- <br />-----�-- -- -� - _ <br />TOTAL <br />b <br />