Laserfiche WebLink
� <br /> Z <br /> � <br /> , <br /> APPL.� _y�y/l�� � f I r <br /> No. r��r•�� J CITY OF EVERETT <br /> SERVICE <br /> APPLICATION FOR WATER SERVICE ORDER NO. . . ^ :i q <br /> � FIXED -�,� �J <br /> �.�_ DATE �„v /7'r <br /> � DEPOSIT s ,23 J_ �-18_ <br /> W. O. <br /> No._ <br /> SERVICE (!Y ApDRE88)��7��tf� /� � S P ?8_/a�,s- <br /> n � BLK.___LOT ADD. <br /> OWNER �C/�^Liyi• � � __ <br /> i. -�i-_�`j '� CON7RACTOR <br /> IN�TAL METERED ERV C <br /> _ �-�- ��v ���% <br /> � . I HEREBY APPLY FOR THE USE OF WATEP IN ACCORDANCE WITH THE C � — <br /> ORDINANCES AND POLICIES OF THE WATER DEPAfiiMENT NOW EXISTING � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. -��--_/:��� <br /> BIGNED: X " _ L�'Y�=J` <br /> MATERIAL6 �' IN. 1 IN � 2 IN. � --�— <br /> PIAE I PRICE AMOUNT <br /> COPPER•. GALV,.. STEEL I I <br /> CORPORATION �--{—� <br /> CURB COCK pT —' I —� <br /> SERVICE BOX PLASTIC -- C I i -- <br /> METER VALVE <br /> METER No. __ —.-_.__- TYPE_—._.__.-I— _ __. — - — <br /> �� <br /> METER BOX CONCRETE SMpLL LARGE � <br /> - _ �---- -,�-�- ���- - <br /> ��� � <br /> -- —J_.__ — <br /> __-�_��- � = _-; �_ - <br /> � � � �� - <br /> DATE INSTALLED: I ❑ �N <br /> � OFF SUB TOTAL <br /> COOE � LAOOq AND EqU1PMENf RENTAL <br /> IMOURS qATE <br /> i �-___-__--__ _ — _--___" ___i_ <br /> --� --��'�--� ��-_I- ---- <br /> � - ------ ____ � - - <br /> � -------- - -- <br /> REMARKS: TOTAL � <br /> a <br /> �_ <br />