Laserfiche WebLink
� APPL�/��T//�� !�� APPLICATION FOR SERVICE SERVICE o <br /> � No. �CiIL!�W � ORDER N' 24� 8 <br /> CITY OF EVERETT WATElt DEPT. <br /> , �FIXED DATE.L�/_L(�__—�g� <br /> i � DEPOSIT s�,�- � / <br /> W.O. <br /> No. <br /> i -y �� � �,�., / ^T� /� �r,, <br /> � SERVICE cBrAconEes7Z��_J—_(/"•��LCSN /I� BLK._—_LO� Ly!_qDD.�Z��/ <br /> ' ����� <br /> i OWNER *- �'Y7�� . CONTRACTOR ____ _ <br /> _ 3/_ �FLAT — <br /> I INSTAL�_ RED SERVICE �Z _� <br /> I I HERCBY APPLY FOR TNE IISE OF WFTER IN ACCORDAhCE WITH THE � �j „� <br /> I ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXIi71NG U���L <br /> � OR AS SAME MAY BE HERE�FTER CHANGED, sicneo: X. L <br /> � ---- <br /> MATEq1AL9 �i �ry, � �N. IZ �N• I � PRICE " AMOUNT <br /> L �'�PE �COPPER-GALV.•- STEEL 5 <br /> G <br /> I CORPORATION ; <br /> CURB COCK ` OT i <br /> , SF CE BOR (PLASTIC�- C I I <br /> __ti� <br /> ��METER VALVE __ — — — — ' <br /> ' —__ I — -- _ __ <br /> � METER No. TYPE: � <br /> � METER BOX CONCRETE SMALL LARGE � <br /> � —I — <br /> i— __ - .I �— — . <br /> � <br /> I <br /> � I— �� <br /> � I I I I <br /> fh' ON <br /> I DATE INSTALLED: LI"_ /" � / � OFF SUB TOTAL <br /> C�-I LABOP ANO EOUIPMENf RENTAL <br /> � _ HOURS qAT[ <br /> I I _— ` , > �� <br /> II --_�_.�-l-�.�. ._/�' -� <br /> �I .i.��_� �i.- I �� _ <br /> I- _� ---�_�� --C-�--�(. > > i � - <br /> I � --- -- ----1 �-�- -- - <br /> i ' -- -- ----- _ _ j - - <br /> i- i � - -- <br /> I TOTAL � <br /> � REMARKS: <br /> a,,. _ . <br />