Laserfiche WebLink
�r�c.� //��6 <br /> Ar�L. "1/' QO� CITV OF EVERETT B�R��O� � 7G1 <br /> No. J(Ja ORD[R N�. � ( <br /> APPLICATION FOR WATEfl SERVICE .y, � — Q� <br /> � FI%ED DA�{�fL 102— <br /> �� w.O. <br /> � tlE�0e1T �� No. <br /> � f[I1VIC6 !�Y u�►.�� J C`���""/�` �—�Y�BLK._ LOT ADD. . <br /> OWN[ �� � <br /> � CONTRACTOR <br /> // p �-- <br /> INSTAL� ETERED BER C _..— _ - -- <br /> I HERElY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH TNE i� I <br /> ORDINANCES �ND �OLICIES OF THE WATER DEPAHTMENT NOW E%ISTIHG /�� <br /> OR AS SAME MAY BL NERE�FTER CHANGED. noNco: % . (f— - <br /> M�T[I11AU �41N. I IN. � ! 1 . i 1'111CF AMOUNT <br /> rI�E _ COPPER-- GALV.•-£TEEL � <br /> C011rORATION <br /> CURB COCK OT I <br /> S6RVICE BOX PLABTIC -- C 1 I , <br /> METER VALVE _ __ _ <br /> METHR NO. �J�./��_ .�__- TYPE:__ __. ___—I.K _ —_ --_ — _ <br /> METF.A BOX CONCRETE SMALL LARGE <br /> _—.__..._. ___—� _—_ — <br /> —__' i—_ —I — -- _ <br /> i <br /> — _"I _ <br /> I <br /> -______'_'.' _.— _I I . . <br /> � � ON <br /> DATE INSTALLED: L� fl�/�.(j I � OFF SUB TOTAL <br /> I'�C, 7 <br /> COD[ I L11BOR ANO E0111PMEN; RENT�L ! HOUR! 11�T[ <br /> � �AiTlPr7Gfii�- - -- ___ �,- l.�t.t---� - <br /> I <br /> - ------ <br /> -- - -- <br /> � --�-- -- <br /> - __---�'������ ---- - I - - <br /> I _ __ ----------- � <br /> --- <br /> I -- -- <br /> ----- - - - - _ -- <br /> � <br /> TOTAL I <br /> REMARK8: <br /> .t?LQ(� - ----- ---- - <br />