Laserfiche WebLink
APPL. ������ APPLI�A7+ON FOR SERVICE sr.RvicE {V� �I s O �i <br /> No, L� ORDER <br /> CITY OF EVERETT WATER DEP"f. � <br /> DATE� � —19�-y <br /> F_D <br /> � W. O. <br /> , � DEPOSIT 5 No. <br /> '�'2L . O� <br /> SERVICE <eYA r3s)��U'7 ������" oLK.—_LOT�ADD.��C�G ��m^ <br /> OWNER U f S J _CONTRACTOR� -- <br /> FLAT � � � <br /> � INSTALL�_MGiERf9 SERVICE--__— �� <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �' <br /> ORDINANCES AND POLIGES OF THE WATER DEPARTFIENT NOW E%ISTING �;�L ,� 6 �`- C.' \ <br /> OR AS SAME MAY BE HEREAFTER CHANGED, sicNEo; G <br /> MATERIALt'i �w IN. 1 IN. � 2 IN. �i � PRICE AMOUI <br /> p�pE COPPER-- GALV.--STEEL <br /> I <br /> CORPORATION II � <br /> CURB GOCK OT I �I I <br /> SERVICE BOX PLhSTIC -• C I� I I I <br /> _METER VALVE _ _ _ _ __ —L_ <br /> ME7ER No. TYPE: I b5 I _ <br /> � METER BOX CONCRETE SMALL LARGE I_ <br /> �I <br /> I I <br /> _I _ I <br /> I _. <br /> _—_—I � — I <br /> I <br /> I I I I I I <br /> �-ON <br /> �ATE INSTALLED: //_ 3 � OFF -��; SUB TOTAL <br /> i ^ a �'� <br /> COOE � LABOR AND EOUIP�IElJT RENTAL � HOIIHS RATE <br /> �� �_� � <br /> � I �i I <br /> � � ,d� y : ��_ �I � <br /> j � il I <br /> - � I� i <br /> -- I I' I <br /> � � /�-�- --- I �� <br /> TOTAL <br /> REM,�RKS: / �� <br /> (�f/��J <br />