|
� ���� ���C�U APPLICATION /00. SERVICE eeRviecN: _�5,j�
<br /> No.
<br /> CITY OF EVERETT WATER DEPT. ORDfiR
<br /> �x�o : �o �,� �wr' '� ��U� DATE 7-IL, ,o?L
<br /> ,
<br /> 0 ocro�ir s l t- ��8q r�o°' I
<br /> etRVIC! UVAnnllnf�-�C/.'Z�` �YPy(.Li� BLK. LOT-S�ADD.LllI�'�E N!/CN75 II
<br /> OWNE� �/�/��Zl �.5� /c 1���� r�rG ---
<br /> � �/ CONTRACTOR ._ ,
<br /> , INSTAL �l�d��ME�R[D--�ERWB�`�� I
<br /> � HEREOY MPLP FOR iHE US[ OF WATER IN ACCORDANCE WITH THE } I
<br /> . ORDINANCES AND MLICIES OF TNE W�TER D[PAl1iMENT NOW E%ISTING ��'LaLp_ ,• T�"
<br /> . . O11 q E�ME MAY !E N[REARER CHANGED. •ioN[n: �Szn �. � _ I
<br /> MAT[IIIAU j( IN. � IN. • IN. PpIC[ AMOUNT I
<br /> I r�rE COPrER•-GAL.V.-STEEL I
<br /> , CORlWRATtON
<br /> CURe COCK OT I
<br /> S6RVIC6 �OX PLA9TIC -- G I I
<br /> • M[TER VALV[
<br /> ��' ' M[":ER No. TYPE: N � �� 7'�y�/'/ --
<br /> �14ve-
<br />'(;: ,— lScZJ�/ —
<br /> MtT[R !GX CONC11[T[ sMALL LARGE /�
<br />. F-��CL //l��r J�/l
<br />. . — � ��/.S ..i j L� .'%/I �. —.
<br /> , ' - — .5/iV('L �
<br /> _ 'Z/7/7,S ' �
<br /> � — �� I Dr��l� �,
<br /> . --I-1�-1-i-f-� -
<br /> I � ON
<br /> ' DATEINSTALLED: � OFF SUB TOTAL
<br /> COD[ 1 ��BOR AND EqUIPMENf RENTAL HOl1R9 p�TE
<br /> I
<br /> I _ I _ _
<br /> � I �___ _ I
<br /> I '_.� I — �_" _
<br /> , I �
<br /> - I
<br /> ;�
<br /> I ____
<br /> TOTAL
<br /> ' - REMARKS: � / / � 7 �t IT I/' � JJ f� n i /''� '_ Ci
<br />� • . . -t-� -�-�- �----
<br /> f 9 � C' Ct ? r l ,� r-- � o ��� � .: � \ �r
<br /> � ,r � �.� � �'t�� � " ' -
<br /> ,' � � �. , :`.
<br /> , 1;.� ,
<br /> � �: , { .> , �. , c
<br /> { ' '.; i � , r,� .. �
<br /> �
<br /> • � dr r 1 • , � .i , ;�
<br /> ' �' � � � if� � . � .�:'�� �'..'. ' � . � •• u:
<br /> . . .i� � .. . ,.0 j.. ; ' u'� � �. . . . ,ty .
<br /> q � '� ±
<br /> � 1;� � ti, ��,
<br /> . � � .� ' ..Ij' �� . . ' t ,,: . f',, •
<br /> �• ' � .: � ' '�.�,i; � � f�
<br /> • , p i '� i`' ' • :i ; � � ,
<br /> , �' • :j`1 � �, . � � . ` , ;, .
<br /> , � : , t" � �.• ;� :; .
<br /> ,� : � ,,;, � , � i. r ., •
<br /> i�• � � • ' . �
<br /> � �' � �
<br /> . . yr � � � , �.� .. . .. .
<br /> , . , t t. � . `�:� � � �i 1 { . , �i, '
<br /> � . . . �.,�14 . . . �
<br /> � � . . .. ..i 1 1 V . . .. . � . 1
<br /> ` ' .
<br /> . . . . . . . . ' .\, . . .. . � . .. • . ' . . . . . ti •
<br />
|