Laserfiche WebLink
/ <br /> L �� <br /> pppl, SERVICE � � T <br /> No. a �a�g CITY OF EVERETT OROER <br /> � APPLICATION FOR WATER SERVICE �� 5 9 7� <br /> � FIXED DATE �18 <br /> 1c7f DEPO5IT s ��'f^�� �,Wj' O• _ <br /> �}� =a�-� <br /> � SERV�CE1�YAODep�)—✓=I� �Q BLK._ LOT AD�. <br /> OWNE -/-7-1-,��'JId���L�.J�.�—GONTRACTOR — <br /> INSTA L�(�ETERED ERVICE��_.1-�.•L�I� -T <br /> I HENEBY APPLY FOR THE I15E OF WATER IN ACCORDAHCE WITH THE 3�'4�� ` �' <br /> ORDINANCES AND POLICIES OF TME WATER DEPARTMENT NOW EXISTING . �— <br /> OR AS SAME M�Y �BE NEREAFTER CHANGED. ncr+co: X _ --_ <br /> MIITERIwL1 14 IN. 1 IN. � 3 IN. i PRICE AMOUNT <br /> rlrE COPPER-•GALV.-STEEL _ <br /> CORPCRATION � j <br /> CURB COCK OT I <br /> SERVICE BOX PLASTIC •• G 1 I <br /> METER VALVE <br /> METEP No. fj'a YJ TYPE: I 'f _ __ ___ __ — _— <br /> METER dOX CONCRETE SMALL LARGE <br /> —_I — �_ — — <br /> I <br /> '—I — — <br /> I <br /> —_I -- <br /> I I I <br /> � OATE INSTALLED: r ?� �� I � OFF SUB TO'7AL <br /> J <br /> �:UDE � L�BOR ANO EOUIPMENf RENiAL IIOURS RATE <br /> .�',���' --i - <br /> ; �-- --- <br /> __-_ � <br /> � _ -- _ <br /> _ i _ <br /> � �yy _ <br /> Tor�� <br /> REMARKS: � ���� b py /3LE CNC`-'L __ <br />