Laserfiche WebLink
� � ��D APP.LICAT!ON FOR SERVICE SERVIGE N° 1 1 8 0 <br /> oaoeR <br /> - CITY OF EVERETT WATER DEPT. rf; , ��. <br /> }'� `'�' � f 7C C' DATE��_�_�_19�+1 <br /> i FIXED / <br /> r�- �.- <br /> � oerosir s /�'', �-- � N o. <br /> (�!/� <br /> SERVIGE fov,AooaEse� ���'/ �""��� � BLK. LOT e/q�D./ <br /> �':� OWNER�._.�'!_���:+ !�� � l.I:. . --CONTRACiOE'•I,/1[iR.���� �.l.�R � Il i, <br /> tF �.. / 4vY�.c.}i—L .(EL« ,. � / � <br /> ;g � INSTAL� / METERED SERVICE — '� "`�����'"'-'�' ������r,t"" "" � <br /> I HEREBY APPLY FOR THE ❑SE OF WA7ER IN ALCORDANCE WITH THE � � � /� , l- <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING � � ! L - %�������:. "� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. s�crveo:�_—�� � --- <br /> AIhTERiAL9 I �.'� IN. f IN. I 2 IN. L_� PRIC[ AMOUNT <br /> PIPE COPPER- GALV.-STEEL �f� I �p �� <br /> CORPORATION II �_� <br /> CURB COCK OT I II I _ <br /> SERVICE BOX PLASTIC -- C I I �i I _ <br /> METER VALVE I�� <br /> _ METER No.S'��✓�_/Ol,Y IZZI TYPE:I3 .-P.+� I 'S - --- —_ ���. <br /> METER BOX CONCRETE SMALL L�1RGE � <br /> - �_ � I . � 319� <br /> � � !_ <br /> --i - � <br /> � - -i <br /> I - I_ <br /> �� - I I I I <br /> � ON <br /> DATE INSTALLED: I �� OFF �(/ � SUB TOTAL �C16 <br /> COOE I L�BOR AND EOtIIPtdENf RCNThL � I HOUR6 RAT[ <br /> � (�� , . , , _ � '! 1,_,�.,. � '; -> <br /> �� �—� ��`; i ' <br /> �`��U'J I � <br /> � � I! � <br /> /� ---- - ---�----- �� � <br /> ./ I TOTAL �I� /� <br /> ��T <br /> REMARKS: <br /> -��� ----- __ --- -- -------- --- -------------------��- <br />