Laserfiche WebLink
i <br /> , <br /> � <br /> =(ivT T2� C �hl..'1"uv�. ��) - yr• � � ( I <br /> A�PL. ��l � � CITY OF EVERETT 3ERVICE ��0 6523 '� <br /> No , / ORDfR � <br /> . APPLICATION FOR WATER SERVICE �a <br /> � FIXED DATE-1��Z1pel.L II <br /> � DErOS1T i �y aC �.Wj'p0. I' <br /> � � <br /> 6ERVICE (�Y ADD11u�1 `�� � � ��nr�(��[q�N � —BLK._ LOT ADD. . <br /> / <br /> OWNE CONTRACTOR <br /> � <br /> INSTAL�� ERED SERVIG <br /> I MEREEY APPLY FOR THE USE OF WATER IH ACCORDANCE WITH THE <br /> OPDINIINCES AND POLICIES OF THE WATER DEPARTMENi NOW E%ISTING v <br /> OR AS SAME MAY BE HENEAFTER CHANGED. •wN[o: X . - ---------- <br /> MATERIALt jL IH. I IN. I 2 IN. I PNICE �MOUNT <br /> �p O6� COPPER••GALV.--STEEL , ZS � _ <br /> cor+� 3'{Ov l8 — _ <br /> �„R �«--� 3�{Do45�J i <br /> SERVICE BOX PLASTIC •• C I I , <br /> METER VAWE ___ _ __ __ _— <br /> METER No. TYPE: I `S __ <br /> —.i—_— <br /> METER OX � CONCRETE� SMALL LARGE 1____I__ <br /> Ad� 3�t o00 3y7 3 I _ <br /> 00 �F Z� 1 � _ <br /> �� 3�Foo ' 3 7 � --�— — <br /> A-daT3v ocb/� 7 �—� — � <br /> oa U ! I <br /> � �'a.d a �I��I l�S 4 7 / I I <br /> � ON <br /> DATE INSTALLED: �/� �-� OFF SUB TOTAL , <br /> COD[ � LAlOR AND EOUIPMEN f RENTAI HOl1M! RATE <br /> ,4 I U i�q95' _,,�5».1��� _ <br /> I l5 Ste��se�hl lp -- <br /> I .� � 3 I�o -- <br /> � .3�,��_�� _ <br /> � (�80o I_.� <br /> I � I <br /> l'OTAL � <br /> REMARKS: _,____ _ <br />