Laserfiche WebLink
� 2/� �.�� <br /> APP�• � ! G 3� APPLICATIOtJ FOR SERVICE SERVICE Na � �gZ <br /> � N�' ORDER <br /> i = �Y OF EVERETT WATER DEPT. '/ �J� <br /> i �FrED s DATE�-�_i9J�_ <br /> 7 ` - ���. <br /> � � DEPOSIT 5 , W. O. , - <br /> No._ <br /> i �L(/� /1 O I/-i y �vfsr��OG< <br /> I SERVICE (BYAD�RE66) "� /��"'v ���C.Q�i/!� /�BLK. ! LOT "S�ADD.S' N G� <br /> iOWNER_J�� /V � SA� ! A7Q/� CONTRACTOR �`� G�� �U���� /�G <br /> � � <br /> INSTAL METERED SERVICE � <br /> � I HEREBY A THE 11SE OF WATER IN ACCORDANCE WITH THE � � � <br /> ORDINANCE D POLICIES OF THE WATER DEPARTMEN7 NOW E%IS71NG /'/� <br /> I OR AS SAME MAY BE HEFEAFTER CHANGEO. sicNeo: X_!./�-���` � S��T�t2�ij/� <br /> 1 � <br /> MATERIALS �w �N• � �N. I 2 �N• I I PA�CE qMOUNT <br /> � P�PE COPPER - GALV.-STEEL � I , <br /> � GORPORATION — —I—� � — . <br /> � CURB COCK OT —I <br /> I SERVICE BOX� PLASTIC •• C I I I <br /> I METER VALVE � <br /> r---_- __ _' —- _—--_..— . —. <br /> � ; METER No. �.3:�_____TYPE: ��_I �9 __ _— . — . <br /> I �METER BOX f'�+wrrorrr Cs1�� —I—� � <br /> - ��-+r SMALJ LARGE _ / I <br /> I �I� <br /> 1 I I — <br /> � I � I— — <br /> I � I <br /> � I I I I <br /> I I�rl ON J <br /> I DATEINSTALLED• _ _ y O OFF � � Q SU9 TOTAL <br /> COOE I LABON ANO EOUIPMENtR[NTqL I NOURS RATE <br /> j—I �>t'///',�ne.�K — - _ � .� <br /> I_-�1� _ I �- <br /> � i . � �. I�` - - - <br /> � �s�t���"�,�;�-���-- �� <br /> i ��e�you�- � 3�8__ I�/ _ <br /> I � I — <br /> �_ I � � <br /> � TOTAL <br /> I REMARKS: <br /> , ;L�-�� - --- <br />