Laserfiche WebLink
� <br /> • Z <br /> 0 <br /> � <br /> . � <br /> APPL. a�!'S �/ CITY OF EVERETT pRDERE NO. �� � � � "' <br /> No, �� <br /> APPLICATION FOR WATER SERVICE <br /> ' DATE�-2�"_—�s�-� <br /> � FIXED ro � � <br /> y�� � �'I <br /> W.O. r. —I <br /> � DEPOSIT s � No. y = <br /> 'qq „ om <br /> SERVICE (�Y�DDRE��) �//✓�! ""__� ' BLK.__'LOT�ADD. C O <br /> mo <br /> �. c .G_ ' �GONTRAGTOR O 3 <br /> OWNE -- ' <br /> 3/ N rLI, m <br /> INSTALL�f�— ERED SERVICE_— = -1 <br /> I HEREBY APPLY FOR THE USE OF WATER iY ACCORDANCE WI7H THE m <br /> ORDINANCES AND POLICIES OF THE WATEP DEPARTMENT NOY/ E%ISTII:G Y� q Z <br /> OR AS SAME MAY BE HERE�FTER CHANGED. eicHeo: X -L - � <br /> a --i <br /> M�TERIALS �' IN• � �N. � 2 IN. I � PRICE AMOIINT M = <br /> �--i <br /> —� � --I N <br /> p�pE COPPER-- GALV.•• STEEL _ _ "� <br /> � <br /> CORPORATION __ ' — 0 3 <br /> CURB COCK OT I — � m <br /> 2 <br /> —I m �, <br /> SERVICE BOX PLASTIC •• C 1 —. N <br /> — — o r <br /> METER VALVE ____ ______ - — — 3 N <br /> METER No. TVPE: I `S _ __ _ --- — m <br /> METER BOX CONCRETE SMALL LARGE _ � �i <br /> — — ——I =� � a <br /> A <br /> ---_- ( -1 <br /> 2 <br /> — — — a <br /> -- "—I z <br /> I — — - — _ <br /> H <br /> Z <br /> - -_"-_- - -I I I '--I <br /> H <br /> DATE INSTALLFD: /.��-8 5 I � OFF � <br /> SUB TOTAL m <br /> CODE � IABORANDE0UIPMEN( RENTAL HOURS RAT6 <br /> S , Tc,7��_/�� <br /> i - --- ,�,,��w�-e I� „ <br /> � --�� ��/0 � � z��� _� _J "— -- <br /> � -- �, — <br /> � — -- — �—. - <br /> -- TOTAL <br /> REMARKS _ _ _ ._.,_ <br /> � ' <br />