Laserfiche WebLink
ZOO Z � ApPLICATION FOR SERVICE SERVICE {�o ]] ] <br /> pppl, ORDER <br /> "�. CITY OF EVERETT WATER DEPT. /� <br /> _�l�, <br /> �,,, enr� 'Fc'-' / —i(� <br /> � FIXED <br /> C!' w.o. <br /> � DEPOSIT s ��� _ , No.. <br /> $ERVICE (ev wDORees)`�—�--�' /���� � � OLK LOT�DD. <br /> � �,,.�lr�.,,� Ca>,���. <br /> CONTRA <br /> OWNER <br /> ��/ FLAT _ <br /> INSTAL��SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE W�TH THE /// ' �/ <br /> ORUINANCES AND POLILIES OF TXE WATER DEPARTMENT NOW E%ISTING S�aNEo: X��� ��' "' ' � �3� �< <br /> OR AS SAME MAY BE HEPEAFT[R CHANGED. <br /> �/a IN. i IN. I 2 IN. � PRICE AMOUNT <br /> MATERIALS I <br /> p�pE COPPER--GAW.--STEEL � _� �� <br /> CORPORATION I <br /> CURB COCK OT II I -- <br /> SERVICE BOX PLASTIC - C I <br /> METER VALVE - -- '— --- <br /> METER No. TYPE: I %� __ � — - <br /> METER BOX CONCRETE SMALL LARGE ^��— I�---II <br /> � � <br /> I � � <br /> - -I� � - - <br /> � <br /> � � � <br /> ,r � ON <br /> yy OFF SUB TOTAL <br /> DATE INSTALLED:/'Z 3/ � `� ❑ <br /> LABOR PND EOUIPMENTRENTAL <br /> HOURB RATE <br /> CODE <br /> I' � I <br /> I --�1� -- <br /> II ���� '—. <br /> _ _ — --- JI lil I, <br /> �' ------- I �'� <br /> I — i <br /> TOTAL <br /> OREMARKS: ' )\ C'1�_____- _'—_"_ <br /> . . i.\ . _ -- .._.-_ <br /> .__"- -__'_ <br /> r- <br /> .._.....____ . _-_"_-"__--__-. <br /> _1�'��°i�-- - - - - - ---_ ._ _—_—___ - <br />