Laserfiche WebLink
APPL. �D�S9 <br /> No. .APPLICATION"FOR SERVICE SERVICE �1f° H 9 4 <br /> =�G'�•�f CITY OF EVERETT WATER DEPT. �Ro <br /> iy{ FIXECI �AnfE "`L�.✓ `y�l ' 1��/ <br /> rt• . , tf0 - �- <br /> � DEPOSIT s i <br /> W. O, <br /> / No._ <br /> 79/�'�-�.�.���,.�.1��J p ' . <br /> SERVICE (eY AODneee) BLK. LOTi� lLC� L/,�ClL� <br /> / --T'_�^'--�-- <br /> OWNER CONTRACTOR �� <br /> Flr\T ✓ <br /> INSTAU METERED SERVICF <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITN THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGE�. <br /> BIGNED:X <br /> MATERIALB �/i IN. 1 IN. 2 IN. <br /> P�PE I I PRICE AMOUNT <br /> COPPER-- GA�V.-•STEEL �� � F� <br /> r <br /> �./ <br /> CORPORATION — — I ---�I I <br /> CURB COCK OT — i I <br /> SERVICE BOX PLASTIG -- C I / I — II� <br /> __L <br /> METER VALVE — <br /> METER No. TYPE: I .fi � <br /> METER BOX CONCRETE SMALL LARGE <br /> ! � � <br /> _ �I—i — ---I�i� <br /> � _ I _ <br /> _ i � . <br /> /� � ON <br /> DATE INSTALLED: L// / C� <br /> �� (� I I ��.F �� � � �UP TOTAL I� J <br /> CODE I LABOR AND EOUIPMENT kENTAL I <br /> N� _RATE <br /> G � <br /> � � � <br /> � �--�-_ �=--� I _ <br /> i i <br /> j � �i I <br /> � I li - <br /> =j - �-- �'I I <br /> C TOTAL ,�� <br /> REMARKS: — <br /> ' — -`� - � C I : <br /> — _. • �L:�.n <br /> `� � <br /> �' �:Jr�L.-. - / • ' . <br /> � / ( � o ' <br /> _ , <br /> --ti._S-�- � ----- -=-`-�- t: .� <br /> - -_.._..�._�-�------- `�- <br /> -, <br />