Laserfiche WebLink
2 0 �`c <br /> No'L ���`5 � �P���TION fOR SERVICE scRvic�N� �K�)� <br /> CITY OF EVERETT WATER DEPT. ORDfiR <br /> 1%[D DATE���/ �f <br /> —10__ <br /> � DEPOSIT s�i Q, ��' N � <br /> SCRVICE (�V ADDRU�) �����/����J'✓ ��. y/��� ���"" <br /> BLK. LOT�v ADD._ <br /> /- r/1 �L�__— <br /> OWNERI "� . G[JSO � CONTRACTOR��� �F7fCLC L___ <br /> �� FLAT <br /> INSTALL�_MET[RED DERVIC <br /> I HEREBY APPLY FOp THE IISE OF WATER IN ACCORDANLE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER D[PARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE MERE�tTER CHANGED. e�cNEo: %.. i' <br /> _s__ _ _ <br /> MAT[RI�V � IN. 1 IN, I = �N• I��T PRICE ' AMO T <br /> P�PE COPPER- GALV.-STEEL <br /> CORPORATION <br /> CURB COGK OT I <br /> I <br /> SERVICE SOX PLABTIC -- C 1 I <br /> METER VALVE � <br /> _METER No. TYPIE: ;S <br /> M[TER BO% CONCR[TE 9MALL LARGE <br /> _. _ I — <br /> — _—I —__ _ — <br /> I — — <br /> —_— I — <br /> I I <br /> I � ON <br /> DATEINSTALLEO: � pFF SUB TOTAL <br /> COOE I L�BOR ANO EQUIPMENfPENTAL I ry0UR5 RqTE <br /> __� __- I <br /> _"__ —_I <br /> -_-_-I _ I — _--_ <br /> -_ __- I _ __.___ <br /> I <br /> .__. '__. _'___"___"_ ____ I -- — — <br /> i _ ____ <br /> _I ______._ ' — <br /> — i _- I_ __ —_ <br /> I <br /> � TOTAL <br /> REMARKS: � • .., r- � �! r- F / I1 ' � j - � - � _ �_ <br /> Jp-�-- t._ `, �_'_..`_ �/r. : � � '.•r.(.-. __ <br /> /(L� � / r r <br />