Laserfiche WebLink
APPL. =�� `�i A�PLICATION FOR SERVICE SERVICEN� 1 31 4 <br /> No, oRoeR <br /> CITY OF EVERETT WATER DEPT. ,�� --�— <br /> � FIXED %J. ` ,� DATE� ��1D I� <br /> , �. (f, <br /> � DEP091T S.1i f_PI�'- No°____— _ <br /> �- <br /> SERVICE �er anonesn--_J_���.:�1_�'(���_..L�'���--_OLK.-___LOT.--AGD. <br /> 91�VNER _.CONTRACTOR <br /> ✓cJstl«`� _�� --." —____.___—. __ __ — <br /> 1M6�1lCL_�Fc._METERED SERVICF�c�-�.+����.j+b--4a�----�'="-"_��--�/�-,'�� -' *!- - <br /> I HEREBY �PPLY FOR THE USE OF WATER IN ACCORDIINCE WITH THE �% z�-!'.��..-� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING I <br /> OR �5 SAME MAY BE HERERFTER CHANGED. ewrvco: % -_-_-___ <br /> M�TCRI�L! li IN.I I IN. I P IN. I PRICE AMOUNT <br /> PIPE COPPER• GALV.--STEEL {� I ��_�✓�� <br /> CORPORATION l O L ___ I �_ <br /> CURB COCK OT _ _ I �� __ <br /> I ��I <br /> SERVICE BOX PLASTIC -- C I _ I� <br /> METER VALVE _____ ____ _____ ___�_ ___ __ ___, I J <br /> METER No. TYPE: I SS <br /> METER BOX CONCRETE BMALL LARGE _ I _ <br /> _- -_._�_ _. - -_ - I <br /> - -__- I - - -I-. <br /> - ---' '-I J- - I <br /> I ( <br /> -_- __"_'-_____ -�I__- � - _ <br /> / / p 77/ / <br /> DATE INSTALLED: �A � �/ � U � OFF �. � � r� SUB TOTAL <br /> ( <br /> COO! L�lOR AND EQUIPMENT RlNTAL IIOURS PATE <br /> � - — ---F-- –� �� C y�� <br /> _ r 1 r� -- -�—---- � � <br /> � �.c � .=�T�"'--_' -"__'_ __ -L� ✓,�,'—L.��ti 0 <br /> � �_Y.�-_ _-__ I_,�- . v !�`,f� <br /> ---�___ I II i <br /> --;--------- --------- ---, - ---�, i <br /> ------__------ -- ----- ----- - - --� <br /> � - -- -------- - '--_- -----�'----� -- <br /> --------- - - -- I <br /> I I TOTAL 'y�- - <br /> ___ / <br /> REMARKB: �� ./ �/ _ _� '__/ I/1 I (� � �_ --_(. •.� ___'-. <br /> __- ta- - ' ._- ____' __. .__ __ .'�___. <br /> �1-- - f_�c�-�- . , „ l"l � ! �"j <br /> . � . <br /> ! <br /> a <br />