Laserfiche WebLink
� <br /> � � <br /> APPL. � .�/ �V CITY OF EVERETT SERVICE ,� �� , �. n <br /> ��• } '� � ORDER NQ � -I .� �.? <br /> • APPLICATION FOR WATER SERVICE /y p <br /> � FIXF_D 0 DA�ZF1 P--1/.� <br /> O <br /> � DEPOs1T s ,�OO W. O. <br /> - NO.______ _ __ <br /> BERVICE uv�Doe[u1��0 —_-__BLKeXla�L�OT_5/�D�4/�'m <br /> OWNE�� �- —__ —_..______._- CONTRACTOR ____. _ <br /> �� FLA <br /> INSTALL/—Y� ERED SE --_ - . ____—___—_.__ —_ _ __.- ______ <br /> I HEREBY APPLY FOR THE USE Of WATER IN ACCORDIINCE WITN THE <br /> ORDIN�NCES AND POLICIES O� THE W�TER DEPARTMENT NOW E%ISTING <br /> OR AS S�ME MAY BE HERE�FtER CMANGen sicn : <br /> MI1TCNIAL� w IN. 1 I . S 14. I PpICE •MOVNT <br /> PIPE q COPPER•-GALV.•� STEEL I I <br /> — -__—_-_ __ -___'_'. ._..I - ___I—_ '- <br /> CORPOR <br /> --_ _ ��--_—_-- �__— . <br /> CURB COCK OT i � <br /> SERVICE BUX PLA9TIG •- C I I <br /> L _ _._ ______ .. _ _ ___._ __ <br /> METER VAW7IE7B �{ (�G ��� �_ . ._.___ . J <br /> y_ _ T-_-" _. . –_— _— <br /> METEti No.•"-_ n i `f ______._ _.__ _ ___- -___ __ <br /> _ __ _ /C� —_ -___I .._. __-- ___._. _ <br /> METER BOX CONCRET �(s �� AL LARGE _ _ _ / _ _ _ _ _ <br /> � — <br /> — i— -- ��� / 1 <br /> —L.SL-� ��Lk(I e�.t2('1°«1S-S — /-�� �— — <br /> —�'�esk"�.�--���-- ----- `�-L'- <br /> ��-� �--- <br /> ----- -- ------- --- �--;--- �-- -- - - <br /> ----- -__ __ - ------,- -- ; �- -- - <br /> ON <br /> DATEINSTALLED: � OFF SUB TOTAL <br /> COO[ ' L�BOR �HO EOUIPMENf RENTI.� I HOUR! MTE <br /> __.—_—__ _ _'— _.. . _ . <br /> � 3+���� -�r�� _-- - <br /> -- -- <br /> -- — - ----- <br /> —__ - <br /> �d"�`l� _—� — - - -- ---- -- <br /> � �4'� — '�S`l1JP _ <br /> _; _ ,�5��/ �3 _ zr r 3 __ _ �rns� -- -- <br /> i � — <br /> -- _ — <br /> � - , - -- -- — <br /> , -- _ --- - - - _ � - <br /> — - --- - - <br /> TOTAL <br /> REMARK9: <br /> � J <br />