Laserfiche WebLink
APPL. � . 4�/ �/ <br />t,lo. � �� % c..J`tL7 <br />f.7i FIXED ^� <br />I� <br />n <br />oerosir s�- <br />�JSERVICE I�Y �Oo�[u).�.� <br />_..._.__ %,L2YI'�' A 111 � <br />CITY OF EVERETT BERVICE N� BZ%9 <br />APPLICAfION f-OR WATER SERVICE ORDER <br />`� -- � <br />DATE___�_ 1 <br />w. o. <br />No.__._ _ <br />�=�cl��l� �—i •� I _BI-K.. LOT'�'AD�JjKyG�•`^ � <br />ri�l�a, - �.� ��u�,r� ! � � <br />INSTAL� ` I� METERED SERVIGE_—.--_ _--. .______ <br />I HEqEBY APPLY FOR iHE USE OF WATER IN ACCONDANCE WITH THE > <br />0.^.C:vANCES ANU POLICIES OF THE WATER DEPARTMENT NOW ElIISTING tG �/� G i �i <br />OH AS SANE MAY BE HENEAFTER CHAHGED. ncr�[o: X __�__. __{._. <br />MATENIALB i'i IN. 1 IN. � 3 IN. � � PRICE AMOUNT <br />^ PIPE �L,O�ji L f� COPPER -- GALV... STEEL���..��—� _��__ <br />SEP':iCE BOR <br />wrrerr:uLve <br />M• •in. <br />� ..oOXI— <br />�1 5o Tv r¢(��^ <br />DATE INSTALLEO: <br />COOE I . <br />�FmqS�j � I <br />PLASTIC - CI I <br />5J� �� �c��r w � r-e. . - -- y � —{ <br />TVPE: I !S T I <br />�!'i�i%OP�'��Z�TSMALL LARGE 1 1 <br />6�5�8y I f�' OFF <br />LABOR ANO EOUIPw�ENf pENTAI <br />-1 _ =1 ___-ll_-- <br />SUB TOTAL <br />MOUP9 I RATE <br />_I L• �a� I tf I <br />TOTAL <br />REMARKS: <br />