Laserfiche WebLink
APP�•�� ' 'A'PPLICATION FOR SERVICE SERVICE N� 5 $ 2 <br /> Nb. ORDER <br /> ,- ��'-,' CITY OF EVERETT WATER DEPT. <br /> � FIXED �� �_� � � DA� r' --���� �� _19 G�� <br /> DEPOSIT %�? � �` /� <br /> ❑ S�i _t C4'.f.y.��.'/ W.O. <br /> � No. <br /> SERVICEteywDOREes)— �l��s ���-L -��t' <br /> / r �{ }� `, BI_K. L07 ADp._ <br /> �WNER���c U'_ y 1���'� /'-C�l�"�/% f1=�'�✓r!�CONTRACTOR <br /> / c � ">��/� 'j �� / <br /> ��WB71tt ��--J�AfE'f6AED 6ERVICE��/�LE Y-�"�'� / �. �� � <br /> I HEREdY APPLY FOR THE USE OF WATER IN ACC6RDANCE WITH THE / .� :" <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING �✓7 ���Z//,, ^ <br /> OR AS SAME MAY HE HEREAFTER CHANGED, elcNeo: X <L�`^ ��L -�� <br /> MATCRI9LS 3i IN. 1 IN. I � �Nf I PRICE AMOLINT <br /> PIPE COPP� GALV.--STEEL /Q .SA JISC <br /> CORPORA710N <br /> �eu e c�'-ocK— or � 3 �� <br /> SERVICE BOX PLASTI • C 1 I I,—G� <br /> �.J <br /> METER VALVE <br /> METER No. TypE; I �5 <br /> METER BOX GONCRETE SMALL LARGE <br /> �_. / �_. , r � �� <br /> ' � I <br /> , � . -� � <br /> i�- .�b- c� � I — <br /> I <br /> I I — <br /> � ON <br /> DATE INSTALLED: _ �� _ � �, � OFF � �,�.��� <br /> SUB TOTAL �/ �C <br /> O <br /> CODE I LABOR AND EOl11PM[NT RENTAL � HOURS RATE <br /> � ' �' � �� ,'�,� � � <br /> .�., �, <br /> � ��� � - � � <br /> I`zlr-�-���-� � � ;,��� I� <br /> _ ' I� ;i I <br /> � - � II I <br /> _� -- — ----------�-- �r �— <br /> / TOTAL �� <br /> REMARKS: <._ldSJ nlrr r/'_S-' ,ri �l�G ,L'� � A/ <br /> _�— � � <br /> r,. <br />