Laserfiche WebLink
APP�• ����;� . APPLICATION FOR SERVICE SERVICS 'y� 'I �IO � <br /> No. ORDER <br /> � CITY OF EVERETT WATER DEPT. <br /> �IXED � DATE��_181Se_ <br /> � UEPOSIT g �� � p�� W. O. <br /> �J .� � ` ii• "r- S r �'.�� No. _ <br /> �/�+� L p�,�r o-f <br /> 3ERVICE (er nnnREes) I�f� � ��L'�""'F L BLK. LOT � nnLNi�r.✓ � <br /> , OWNER �/LL/S �Q/�!��Tf1/G , CONTRACTOR�� S tf_,lr�_��C�_ <br /> INSTAU ^��'� FLAT <br /> METERED SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE / ��� ���� / <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISiING �YL �Ll�}.0 � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicNeo: X_ _ �/.��' _ <br /> �Z��r <br /> l.IATERIALS }i IN. � IN. � 2 IN. � ' PRICE AMOUNT <br /> PIP6 COPPER--GALV.••STEEL _� I I <br /> CORPORATION I Ii � <br /> CURB COCK OT I __f I I <br /> SERVICE BOX ?LASTIC -• C I I � I��_ <br /> METER VALVE � <br /> METER No. TYPE: I ;S <br /> METER BOX CONCRETE SMALL LA7GE <br /> - -�--�- - �-I <br /> —I — �L —__L__ <br /> - I �� — <br /> � � <br /> I � ON <br /> DATEINSTALLED: � aFF SUB TOTAL <br /> GODE I LA07R ANO EOUIPMENTRENTAL I HOUqS RATE <br /> I I <br /> I I �I I <br /> � � 'I j <br /> �-- � — <br /> � I _JI I <br /> � - --�--- --�i I <br /> _ I I I�T <br /> TUTAL I <br /> REMARKS: �_ � _ __ <br /> � r'rV r r L-+_ _:\ �. . . V : i ' <br /> --C�--/- _ --_ -__`__ �. .__- __'--_-- -- �' <br /> !� � , �., _�,_ � ---_ <br /> ;- <br />