Laserfiche WebLink
� <br />APPL. � I'i.�((�,1 �) <br />No, � <br />� nxieu � <br />� oerosir s � <br />�� i <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER �g <br />f�l° =�/� 3� <br />DATE__ �g <br />w. o. <br />3ERVICE (!Y ADGpU�)_1�.5� L �� IYSd ���� .—BLK.__.�_LOT__LJ ADD._� <br />� � /� L <br />OWNEF_ �1 1�L CONTRACTOR_�:�/ / 6—.--_ <br />� �I � LAT — — <br />INSTAL �' L_METEkED SERVICE.—_-- <br />I HEREBY APPLY FOR iHE USE OF WATER IN ACCORDANCE K7TH THE C <br />ORUINANCES AND POLICIES OF THE WATER DEPA(iTMENT NOW E%I�TING <br />OR AS SAME MAY BE HEREAFlER CMANGED. incHeo:X -- ,..�"-' <br />M�fER1AL5 I � IN. � I IN. �' �2 IN. Ij� i_�I pICE ' AMOUNT <br />PIPE C:OPPER •- GALV. -- STEEL I I I I I <br />GORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -� C I <br />TYPE: I �5 <br />CONCRETE SMALL LARGE <br />DATEINSTALLED: <br />CODE I <br />REMARKS: <br />ON <br />y�%� �� �'�' OFF <br />L�BOp ANO EOUIPMENfRENTAL <br />i I <br />SUB TOTAL <br />HOURS I HATE <br />rorn� <br />