Laserfiche WebLink
P.y.�����1�S R <br /> APPL. � /'�/ � CITV OF EVERETT °g^��cE 1 '7C <br /> No. � /� ORDER NO. �i I U G <br /> APPUCATION POR WATER SERVICE 'yl �ry O� <br /> � FIXED eo DATr��=L•�e__IP2� <br /> �D6r0/IT �/ W.O. <br /> � �� � JJ 7 <br /> sERVIC61 VADDIIV�1����I.[FyJ �(¢L.a�.�—BLK._ LOT3�A <br /> t <br /> OWN[ . ' � � CONTRACTOR_— <br /> " F <br /> IN6TAL TERED 8ER I _ ____ _. <br /> I HEREEY APPLY FOR 7NE USE OF WA7ER IN ACCORDANCE WITH TNE ��� • �— <br /> ORGINANCES AND POLICIES OF THE WA7ER UEPARTMENT NOW EXISTING <br /> ON AS SAME MI1Y BE HEREAFTER CH�NGEU. •ioNco: % <br /> MATERIAL/ K IN. 1 IN. � 1 IN. PRIC[ 11MOUNT <br /> PI�E - —COPPER--GALV.--STEEL I � <br /> CORPORATION i <br /> :UP.0 COCK OT I <br /> SERVICE BOX PLABTIC •• C 1 I <br /> METER VALVE <br /> METER No. _���_ .. _TYPE: __ ______.. . I K -_ -_— --_ - — <br /> METER BOX CONCRETE BMALL LARGE <br /> _- _-—I _— <br /> _ — I — <br /> "—I -_ — <br /> _— —I — <br /> __ -_I- — <br /> _ _ � I I <br /> ON <br /> DATE INSTALLED: .�j �J yi�� OFF BUB TOTAL <br /> / <br /> COD[ � LASOR �NO EOUIPMEN�RENtAL NOUR! RATE <br /> � ('�.��PRr�l7- -------� � <br /> � �-- �- -- - <br /> � �-_ - <br /> ---- --- - --- -- - <br /> ' -- - -3�----3-- - �-- <br /> i i <br /> i - -- ------- <br /> � ------- -- _ __ ---- ----- __ -- <br /> _ ---+--- <br /> TOTAL <br /> REMARKB: � /f �j <br /> . JI_�7___._-.-_-___-___._- <br /> i <br />