Laserfiche WebLink
nrP�.' g 9�' APPLIGATICN FOn SERVICE oRo�ICE N� 31 1 <br /> ,No. <br /> ��9 CITY OF EVERETT WATER DEPT. �( �, /. � _ L <br /> � FIXED DP. �/�^��� 19�� <br /> , �DEPO5IT S �p�j_� � W. O. —.7 <br /> n �� :�.c:-�d <br /> �-; ,/� � <br /> � SERVI�:E le oREeey,—�--� �� ��GI"�— ���LK. L T��-' 4DD^�'� �� <br /> L-1�C/ . �'�^.t-�- �i� <br /> OWNER _ CONTRACTOR ' <br /> � � �--� _ � - <br /> INSTAL � METERED SERVICE — � � <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE . <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �f �Li�,(.'�' <br /> OR AS SAME MAY BE HEREAFTER CHANGED. bicrveo: X-�-K-w'"' �'Q-�✓ <br /> IdATER1ALS °n IN. 1 IN. � 2 IN. I � � PRICE AMOUNT <br /> PIPE _ OPPER-�GALV.--STEEL ,j� I I I_ .S� I(pD <br /> GORPORATION � I II ���� <br /> CURB COCK OT � <br /> SERVICE BOX � PLASTIC - C I I I �I ' <br /> METER VAWE _ � ____ ___I��J '� <br /> METER No.,�7/(^3QC.��ZZ3- TYPE:� _I it 1 _ I _ � /1 <br /> METER BOX � NCRETE SMALL LARGE � _ I � <br /> .- Y�� ; - �,�- <br /> , , ,-- <br /> -� � <br /> -- ; - <br /> - - � � � - <br /> I �N 5/ / <br /> DATE INS7ALLED�t � � _! ,J ❑�OFF�/, SUB TOTAL <br /> / ie,..a.a�. <br /> COD" � LABOR ANO EpU1PMEN�RENTAI � HOUR6 RATE <br /> ' \ � <br /> I .(-Gl.a//.2i ___ —_ ; ',.. � . � <br /> i I <br /> � — <br /> I � .3 _ _ '1 ��� ��; I <br /> I _ i �� i <br /> i� <br /> i f� `L � �i_.% � ` iL- �' '' ��-`=- <br /> � <br /> — I Torn� I, '/' `�.�/ <br /> ticMr-��:�: 7e !'v--�r .�t�•'___ - <br /> �s✓��c+—�a <br /> ����'�---------- _ _ _ __ - - --- ------------ ------ ' <br />