Laserfiche WebLink
C910 r <br />No. G.J CITY OF EVERETT ORDER <br />SERVICE / <br />APPLICATION FOR WATER SERVICE NO 5360 <br />FIXED DATE ma,� !18.E <br />DEPOSIT S 6O W.O_ <br />GPeG s, <br />SERVICE (MY ADDRESS) Ito Fle �►�ZIn BLK._ LOT1ADD.T� <br />I I <br />(I FLAT - <br />INSTALL RED SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />SIGNED: X <br />MATERIALS <br />IN. <br />I IN. 12 IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />_ <br />CORPORATION <br />_I <br />j-- <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />METER No. TYPE: I 51 <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: ;,I /�O�J <br />r o / <br />ON <br />I OFF <br />SUB TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />_W-_- <br />F- <br />p <br />TOTAL <br />REMARKS: <br />