Laserfiche WebLink
No?L �9��D APPLICATION FOR SERVICE SERVICE �° 6 Z,rj <br />CRDER <br />���FGn. CITY OF EVERETT WATER DEPT. [�/�(��/��//�� �/ <br />� FIXED �ATE�� �g(_� <br />��� n�� <br />� DEPOSIT S �/-`�L�,-� W.O. <br />No. ____ <br />SERVIC 9Y qOORE69�)=��Jy(� '� �/ ,j� BLICy/''J�/�—._. }L-OT ADD. <br />OWryE��(l.:EL�� Xf-�� ✓C'tL � —CONTRA�lfOft'G�YL.F � � — <br />r, � / ��F-'�k�� " ' _ `�-. <br />INSTALL� METERED SFRVICE_ <br />I I1ERE9Y APPLY FOR TNE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINP.NCES AND POLICIES OF THE WP.TER DEPARTMENi NOW EXISTING /����i� -� � ��/ � <br />OR AS ;AME MAY 6E HEREAFTER CHANGED. sicrlco X�=.i•�;; ��--1-�'�_ ���`"���r'��.����__ _ <br />/ , <br />MATEfi:ALS �/� IN. I I IN. I 2 IN. j I PRICE AMOUNT <br />PIPE COPPEt2 -- GALV. -- S7EEL <br />�;--��I IT—I i <br />CORPORATION <br />CUR6 COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. �y�� <br />-NETER BOx.� <br />OT <br />PLAS7IC -- C I <br />f_ - t,' i 7 7 4� TYPE• '�G s'F S� 6i <br />-- �s', _�_� � � <br />CONCRETE SMALL �ACRGE� <br />_id�s'N�eC i0 n.�. /7nA <br />�ATE IM1STALLED: <br />COOE I <br />RcMARKS: <br />r i.'��� - -- <br />��"! n� / Y�h Lr'S I I <br />/ � o rv <br />- � % ' G� S� I ❑O OFF � , <br />=-i <br />LABOR ANO EOUIPMEN'(RENTAL <br />I�(J I� � <br />/ '---�-1[!IS__, � <br />, � � �. <br />�— -y—�'� ��- <br />i —I— —. •�% ���! <br />,� SUB TOTAL �� � � <br />I HOUFS� �AT[ <br />- II I � . <br />�< Ib'I_.(. <br />----'i; I <br />ii i -- <br />