Laserfiche WebLink
APPL. /' CITY OF EVERETT SERVICE <br />No. ,( (p 1- % / APPLICATION FOR WATER SERVICE ORDER 1\10 5242 <br />FIXED DATE_��'f-D��1911fL <br />fp DEPOSIT !—�0. <br />s �n/I W'. el ND.__ ,' eUma�r L <br />SERVICE IRr wooacnl__(.{f_AJ1�lli—.2.L----BLK I—LOT__ADD.--`L/LJ1lLf -- <br />OWNER JL CONTRACTOR_ <br />R l <br />INSTAL FLAT RED SERVICE — <br />I HERESY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X <br />MA "ERIALS <br />IN. <br />IIN.21 <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER -- GALV. -- STEEL <br />CORPORATION <br />_ <br />_ <br />- <br />CURB COCK OT <br />SERVICE BOX PLASTIC •• C 1 <br />METER VALVE <br />_ <br />—TYPE: <br />METER No. <br />� <br />METER BOX CONCRETE SMALL LARGE <br />I <br />DATE INSTALLED: I i O �J <br />_ IJ�L(AABO/R <br />ON <br />I OFF <br />SUB TOTAL <br />CODE <br />AND EOUIPMENf <br />RENTAL��/n����]A <br />HOURS <br />RATE <br />TOTAL <br />I <br />PEMARKS: <br />