Laserfiche WebLink
, , � <br /> r � <br /> APrL, �/ <br /> No. �� 3/�T/' CITY OF EVERETT ORDECE l �' � <br /> APPLICATION FOR WATER SERVICE /R NAO. .. ..� J � <br /> � FIXED DA7ilCf��J_____.IO.GL <br /> � DEr001T i sJ.LS� W. O. <br /> No.__ <br /> lERVIC[ I�r �t��11�30 �v�Q-G p __BLK..�IOQLOT_.a�-�_A�A�+�v"�-t��L�.� <br /> OWN[H��2�4Q,�,_�'/_• -�/LT�V7� <br /> �� � - .-_.CONTRACTOR__________ <br /> INSTALL�_. ETERED SERV C <br /> I HEREBY APPLY FOR T SE 0 TER IN ACCORDANCE WITH TNE — <br /> ORDINANCES AND POLICIES OF' THF, W�TER DEPARTMENT NOW EXISTING <br />' OR AS S�NE M�Y BE HEREAftER CHANGED. � -y�� / <br /> sicHEo: X __���?-`Zi►<<�F�y..-�------ <br /> MATEq1AL! i4 IN. 1 IN. � 2 IN. i <br /> - � P111C[ ANOUNT <br /> P�PE COPPER--GAI.V.•• STEEL <br /> -- ��t L --- — 1-�- <br /> CORPORA710N ___ _ ----- / —I -- <br /> J — <br /> CURB COCK OT ____ — - i — -- -- <br /> SERVICE 60X PL.AeT�C -• C I.__ __ _____________— --I --- <br /> METER VALVE <br /> ..--__-_'__ _-_.________ . ._ . _ _ � — <br /> ' _-__- _____'_ ' __-.__'-_. <br /> METER No. ___ _ _ __TVPE:,�/���EI 4 -__ _ ____ ___ ___ <br /> METER BOX CONCRETE SMALL LApGE �{ � - ---� — <br /> i:7/Xb .CBs __�5���-' . — --- -I ---- <br /> "�:2/J�� L�___.���%'�,b_/yl/�L_ � -- <br /> � /i��t���--;��� _ / I_ — — -- <br /> --��.,'���Y��'��— - - — -� � -- — — <br /> - --- - <br /> ��t/aiL�£2�,�._. -- ----- — -- --- — <br /> -- --- -� �-- -- <br /> I I i �-- <br />' �y/� I �ON <br /> DATE INSTALLED: 9��O�T ��zi � OFF SUB TOTAL <br /> COO[ I L�BOP AND[OUIPMEN!p[NTAL <br /> I MOUR! RATE <br /> _� 0 �,A .1� o-._ ___ _ ---- <br /> - --- <br /> -- - -- --- <br /> ��// - - --- �� <br /> -- - - -- <br /> _. - - - -- <br /> _��.�"2�s" - �_�' <br /> -- — <br /> — -- ��/ �3- - --- i B" <br /> i_�-- - -- _ _ <br /> �l' 6'8_0� --- _ j_gt <br /> �.�� __ --_ <br /> - --- ---- -- �� - <br /> -� TOTAL <br /> REMARKe: , � /i ,� • � <br /> _-___.. „ <br /> _ __ .'__._. __. ' __.. . " -��s� o <br /> - -- .__. _ ---- - <br /> __ `�^ '------�--�--�-�- <br /> i <br /> L � <br />