Laserfiche WebLink
�� � <br /> z. <br /> ry�j..a <br /> µ., <br /> ,�`�` . .M . . <br /> � NOPL��CO��� � APPLICATION FOR SERVICE SERVICE N° 2364 <br /> CITY OF EVERETT WATER DEPT. ORDER <br /> ��FIXED . DATE��._�g� P <br /> . � DEPOSIT s /J � �G� W O <br /> (.1�=�(.J` <br /> No. <br /> 9ERVICE (BV wnnRees)��� w CV �7L��/����BLK. LOT�AOD.���Z�/�Z(�,L� <br /> � OWNER ��� 1 a�E.SC �JQ�J�S CONTRACTOR �L �� <br /> � . FLAT� <br /> I INSTAL� ED SERVICE _ <br /> I 1 HEREBY APPLY OR THE I15E OF WATER IN ACCOROANLE WITH THE — — � l � <br /> I OHDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%IS*ING `� �_ <br /> OR AS SAME MAY BE HEREAFTER CHANGED. slcNen: <br /> MATEHIALB �i IN. I IN. � 2l�{1.. � PRICL AMOUNT <br /> j P�PE COPPER- GAI.V.-•STEEL (�) � <br /> CORPORATION / <br /> � GURB COCK OT / I <br /> � SERVICE 20X� PLA3TIC _ / I <br /> � METER VALVE � <br /> � METER No. _ —_— 7YPE: _— I —_�. — — -- -- <br /> ' ---.. b _—. I -- --_ _ <br /> � METER BOX CONCRETE SMALL LARGE <br /> r— '�„�"�,yP �c��L iV D I <br /> I j—I � — <br /> � --� — -- <br /> , I - <br /> i - - --� - - <br /> i I I I� I-- <br /> � ON <br /> I DATE INSTALLED: j � _'/_, ^� I � OFF SUB TOTAL <br /> �— <br /> �COOE � LABOP AND EOIIIPMENT RENTAL � HOUR3 RM[ <br /> _I /'/��/�-- I-�- <br /> � � � /_f�/)/�!" ' I :T <br /> � �— -- 2 !/ � �s% ___ <br /> I ! ,(� � �.� I .,z - - - - - <br /> j � -- v-� --� — <br /> i— j — — -- —I--- <br /> I TOTAL <br /> � REMARKS: — <br /> '.+c__. , ,,_ . <br />