Laserfiche WebLink
APPL.��jr� .,�� � SERVICE <br /> No. (� 'c L. �;_� ' CITY OF EVERETT ORDER NO <br /> APPUCATION FOR WATER SERVICE '_ //// � � <br /> ��FIXED DATE� �� _�g JL% <br /> C � <br /> � DEPOSIT f ���- � W. O. <br /> No._ <br /> SERVICE (9V ADDRE88) ��'� �-+1.._{-j'j� BLK._ LOT�-�ADD.���C�tS,t��',L� <br /> OWNEA C�L<� .� I .IM/ �i(��C� ____CONTRACTOR_ <br /> INSTAL�,7 /��� _ <br /> y-_METERED SERVIC� <br /> 1 HEREBY APPLY FOR THF, 115E OF WA7ER IN ACCORDANCE WI7H 7HE <br /> ORDINANCES AND POLICIES OF THE WA7ER DEPARTMEN� HOW E%ISTING ��� / '� <br /> �R AS SAME MAY BE HEFEAF7ER CMANGED. sicNeo: X;_��7__ _L�v� �� __ _Q�,i(�� _ <br /> MATERIAL5 ' 1i �N. t IN. � 2 IN. I � PRICE � AMOUNT <br /> PIPE COPPER•• GALV.•- STEEL I <br /> —_... -- _ — —��-- � <br /> GORPORATION <br /> CURB COCK OT i � � <br /> SERVICE BOX pLASTIC -- C I I � <br /> METER VALVE � <br /> METER No. ____ TYPE: --��..�.._� q -- - <br /> METER BOX CONCRETE _ SMALL _LARGE <br /> ——1 - - <br /> _- I � ' <br /> __ I_ �_ <br /> -__ I_ I I <br /> —_ I �f— _ <br /> I I <br /> I I I -� <br /> �/O N <br /> DATE INSTALLED: //- .ya - � O � OfF SU6 TOTAL <br /> 7 0� 4 ��{ � <br /> GODE ' LABOR AND EOUIPMEN�RENTAL � HOURS pqT[ <br /> I <br /> -� ---- - /�t'�z'r_� _�_�__. . - - <br /> --I -�D_3/�/ �- P - -- -- <br /> .�o.v'� � y <br /> —' _-���� �,�Y�.So�� �l— -- <br /> � � � // ��-- - <br /> -� ------ � .�0_9 � <br /> � � #-3�� � a <br /> 3/v� I TOTAL <br /> REMARKS: �j� �, • / ^ <br /> �C �/9_r -� li_IC�_'�-____ <br /> . --�.L_'�� .: ._ _... _.- '___.-- .-__ <br />