Laserfiche WebLink
APP�.�D� (� APPLICATION FOR SERVICE SERVICEN° $ � 3 <br /> No. -. <br /> 2c��,-= CITY aF EVERETT WATER DEPT. ORDE�h ��s// � <br /> rn FIXED DATE!' '"� _t�� <br /> t-k <br /> � DEPOSIT S I��). `_ , �'.O. <br /> ,; ,P �� ; <br /> SERVICE i�ooneael�� ,/'�C' �' � �� --BLK. LO'� ADD. <br /> OWNE �-{!.�y, ..-( 4/�-(`-J-11..J.l•1�•-. CONTRACTOR <br /> ,_�i/ �; FLAT <br /> INSTAL� � M�liTSERVICE <br /> I HEREBY APPLY FOR THE USE OF WA(ER IN ACCORDANC° WITH THE �� <br /> � ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING � ���,'//f��,�//�y `� �, <br /> OR AS SAME MAY BE HEREAFTER CHANGED. stcNeo: X- '� � <br /> AtATERIALe � IN. I IN. � 2 IN. I I PR� AMOUNT <br /> /� '' T <br /> PIPE �COPPER--GALV.-STEEL �� I r � <br /> CORPORATION ��1� �,. �_ II^�� <br /> CURB COCK �b�7 _j II 3�g� <br /> SERVICE BOX � PLASTIC �•- C I I I I �YC'-� <br /> _ �_ <br /> METER VALVE <br /> METER No. TYPE: I ?5 <br /> METER BOX GONCRETE SMALL Li.RGE <br /> — I __ I i <br /> —I L�I_ <br /> � I <br /> —� _ � <br /> I <br /> I I <br /> G ON <br /> DATE INSTALLED: ., �_ ( ,; ❑' OFF , SUE TOTAL �%�b <br /> CODE � LABOp AND EQUIP\IENT RENT:.L I HOURS RATC <br /> �� � 7 � � ' ) <br /> I —__'_��_ . /.�4v I � G <br /> �^J� I <br /> I ���. �! /� I _ 1 t_��. � )�. <br /> � I Ii I <br /> I _ _ � i� <br /> ______ � <br /> I I I I1/ <br /> C�� TOTAL �jly <br /> REMARKS: <br /> _�i x�/� --- -- -- — s -. <br />