Laserfiche WebLink
,APPL.�a ! I 'b <br />No. <br />^ � � FIXED � <br />� DEr061T t (/1 _ <br />__ f�- <br />SERVICE (�Y ADDRU�)� <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />�na..+� . _ _ <br />1 HEPEBY APPLY F ACCOROANCE WITH THE <br />ORDINANLES AND POLICIES OF THE WATER DEPARTMENT NUW ElIISTING .�GNED: X-- <br />OR AS SAME MAY BE HEREAF7ER CHIINGED. <br />MATERI�L� I 1L IN.I 1 IN. I 2 IN. <br />P�PE COPPER -- GALV. -- STEEL <br />GORPORATION � <br />CURB COCK OT <br />SERVICE BOX PLASTIC -• C 1 <br />METER VALVE ___�--- I <br />fY� � J TYPE: � <br />METER No. d �--- <br />�-- SMALL LARGE <br />METER BOX CONCRETE _ <br />DATEINSTALLED: <br />REMARKS: <br />p.� I n OFF <br />D <br />LABOR ANO E�UIPMEN'f RENTAL <br />II <br />1 <br />BERVICE *TO �+ r� � � <br />ORDER IV l7/G� (�� <br />DAT� =S�Y�r�-+- <br />No�' /� % � � / <br />PRICE II AMOUNT <br />SUB TOTAL <br />nouns � R�TE <br />TOTAL <br />