Laserfiche WebLink
No. �1.AlJ �� CITY OF EVERETT SERVICE/ , <br />APPLICATION FOR WATER SERVICE ORDER o [' ^�1 <br />FIXED M DATE_- j J Ig� <br />DEPOSIT W. O, <br />No. <br />SERVICE (BY oDRuB) -,y�,_ BLK._ LOT-_5_ADD. <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. SIGNED:%�j�j/<�r-�„v <br />PIPE <br />CORPORATION <br />CURB COCK <br />MATERIALS <br />COPPER -- GALV. -• STEEL <br />OT <br />V. IN. <br />I IN.1 <br />2IN. <br />� <br />--I} <br />� <br />PRICE <br />AMOUNT <br />SERVICE BOX <br />PLASTIC -- C I <br />METER VALVE <br />METER No. <br />METER BOX <br />TYPE: <br />C014CRETE SMALL LARGE <br />I <br />_ <br />_ <br />DATE INSTALLED: <br />�1 <br />�l <br />ON <br />I IE] OFF <br />SUB TOTAL <br />CODE I <br />LABOR AND EOUIPMEN'f RENTAL <br />HOURS <br />RATE <br />C�'�1i1-.P.A�aR <br />TOTAL <br />REMARKS: <br />