Laserfiche WebLink
nPP�. . � �`�J� ! " i�aPLICATION FOR SERVICE <br />No. ' ' <br />�L_3�-� CITY OF EVERETT WATER DEPT. <br />� FIXED <br />��� � 2'J <br />� OEPOSIT g �-U�'_ <br />SERVICEIe�pooness> '^��'��� —t�� t����'�� OLK. ` <br />// <br />OWNER / eC0 /TRA\ ` �" �� <br />-E6_�� l.� <br />INSTAU �- METERED SERVICF' <br />' HERE�Y APPLY FOR THE 115E OF WA7ER IN ACGJRUANCE WITH THE � <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. sicHco:X�L; <br />i � <br />MATERIALS �I� IN. 1 IN. i 2 IN. � <br />PIPE _ COPPER - GALV,. - STEEL <br />CORPORATION ����pN <br />GURB COCK OT <br />SERVICE BOX PLASTIC •- C I <br />METER VALVE <br />METER No.��y��p�.�77ZTYPE: <br />METER BOX CONCRETE 5 <br />DATEINSTALLEO: � <br />�� � <br />GOOE I <br />il ����� <br />-I.i������L�C�=-� <br />� <br />I <br />i5 <br />� i' <br />—Q�i i. <br />L� <br />-- �� L <br />—;�c ��f/�L�c: <br />� ON <br />y, d�6FF <br />LABOR AND EQUIPht[NT RENTAL <br />REPdARKS: � <br />1� - <br />i� ° � 9 F� <br />�/ � %2 <br />—19 <br />PRIGL II AMOUNT <br />SUB TOTAL <br />MOUF5 RATE <br />� � �' = '!, <br />�__ <br />� l ..- i <br />�� [Y II . . I r <br />TOTAL ,J`IL�IL^L� <br />� <br />G <br />r <br />