Laserfiche WebLink
'; qppL. �jC.� ` �/ � � APPLICATION FOR SERVICE SERVICE No � �Q6 <br /> i No. ORDER <br /> � CITY OF EVERETT WATER DEPT. ` � -�� <br /> � �x� DATE --19�� <br /> .�OC� <br /> � w.o. <br /> � � DEPOSIT s � No. <br /> � SERVICE [aYwonnese) ��f��Y�'-�✓Q� BLKI,G� LOT ADD. <br /> /� � <br /> i OWNER_� T�G�� �� CONTRACTOR_-�c�� <br /> � INSTALL�L�M6TERED SERVICF ((�� <br /> I I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ���\�`�\�_— <br /> OR�INANCES AHU POLICIES OF THE WA7ER DEPAR7MEN7 NOW E%ISTING 1 <br /> I OR AS SAME MAY BE HEREAFTER CHANGED. s��Ne�: X- � <br /> � MATERIALB I °n It1. 1 IN. � 2 IN. I � -- — PRIC[ � AMOUNT <br /> � � <br /> � plpE `GOPPER}-GALV.•-STEEL _��_I_ __� _ <br /> � CORPORATION � � . <br /> rCURB COCK OT _ _ _�� _ _ <br /> . SERVICE BOX PLASTIC - C I I , <br /> I METER VALVE _ __ _� ___ __ _ . <br /> � METER No. ,3,j S A __. TYPE:�...-Qilu _I �� ___r _ _ _ _ _ <br /> I METER BOX CONCRETE ��LA' SMA � �LARGE _ _ _ <br /> i -��-��.-� �I - j- <br /> -i �- - <br /> � -- - ! �-- <br /> �-- -- - I �j�i; <br /> � <br /> i ❑ oN <br /> � DATE INSTALLED: �G�OFF � n� SUB TOTAL <br /> � COOE � L�oOR AND EOUIPMENf NGNTAL I HOURS RATE <br /> I I ( F'�S`_"1�^' _ • I� <br /> � I <br /> � �-�v ----- �� --- <br /> �-- <br /> � � —--— — <br /> � � ----- I---- — <br /> �— � — <br /> I TOTAL <br /> r <br /> I REMARKS: � ' <br /> , ���{---- - - <br />