Laserfiche WebLink
.APP�.. 19�0 9 � .A�•FLI�ATION F9R SERVICE ORR E'R E N� 3 2 5 <br /> No q� <br /> ��jC�n J CITY Ot' EVERETT WATE4t DEPT. —�N i3 <br /> � FIXED DATE" 1� <br /> � DEPOSIT S �J (�� \ . W O. __ � - <br /> -��a.�a� �� �I-��.�,�<�= ,,�,,�c <br /> SERVIGE��woorsesa) - �LJ�[iLK..�I_—LO ADD.._ <br /> / /--! � � <br /> OWNER /�Chd-Y�'+-R-��v1� ���-'.l-r�� �'7'L.Cri� <br /> �' t�ONTRACTOR _ <br /> . � ,�irF� ' ✓ ✓ �' <br /> INSTALL / METEREO SERVICE_ <br /> I HEREBY APPLY FOR THE USE OF WAfER IN ACCORDANCE WITH THE ��/�7 /'� <br /> ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW E1(ISTING ( _"' �s�.G� � ' ��e, � <br /> OR AS SAME MAY 9E HEREAFTER CHANGED. s�cNeo-JC <br /> MATLFIALS �,i IN. 1 IN. � 2 IN, � I PRICE AMUUNT <br /> RIpE �R i- GALV.-STEEL I I � . -/Y �J I/()O <br /> CORPORATION � I _�l_ I� <br /> CURB COCK OT —I—�� _�I I� <br /> SERVICE BOX PLASTIC - C I <br /> �M,�TER VAWE'� � _ �I � � <br /> _ � _--�:j�,E�48G -- � -- <br /> METER No.. TYPE: . I S% � I 8�30 <br /> METER BOX �CONCRETE SMALL LARGE _ f _� l I� <br /> ----- ��, � r.-_� t �� — � I I— —.����3 <br /> i I <br /> i <br /> I I <br /> — � -- — <br /> I I <br /> ON <br /> �� SUB T07AL �QL� �I� <br /> � D�TEINSTALLED: �FF <br /> COOE ( LAUOR ANO EQUIPMENTRENTAL HOURS qATE <br /> � 3 %�:�_°. ��: �� <br /> �LL `� I / �� i <br /> — _��,.�..1� _ I�— 3�� �' �r Ic i <br /> i i i i <br /> � I i)'/ r� � '� y z 7� i = '�, �,- .� � � I� 3 � �� <br /> � �� _ = � — ��- � - <br /> � � � �p <br /> � TOTAL I. ����D� <br /> REMAFKS: � <br /> T � ' - - - . ---- -- `=�- <br /> � <br /> � . <br />