Laserfiche WebLink
ppo�, 5����� APPLICATION FOR SERVICE <br />N o. <br />� CITY Oiti" EVERETT WATER DEPT. <br />QFIXED �� <br />� DEPOSIT 5 �J y[i, \ <br />SERVI IBY AOONEfi9)_ -" �l / - . � OLK._�L <br />/i—� �J / <br />� 7?7'JLC�C.tC�iL �� `.N�1.L�i' 1:r_iTJ C��) \ XJ t�_, <br />� ___' �___ _fr _._'_ _—CONTP.ACTOR—r. _ <br />�J �/ ��.M�T ; �.. C� <br />INSTALL..�--N.ETERE� SERVICE— -----�— —'—�- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �/ <br />ORDI'IANCF.S AND POLIQES OF 7CE WATER DEPARTMENT NOW E%ISTING eicrueo: X--JC �l <br />OR AS SAME MAY BE HEFEAFTER CHANGED. <br />r,;qTLRIhLS ii IN. 1 IN. I 2 IN. I <br />p�pg COPPER •- GALV. -- STEEL I_I�� <br />CORPORATION _ ____ <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- G 1 <br />METER VAWE ___ _ <br />METER No• '_.�'�. 1{���U7YPE:' I �'� <br />-f <br />METER BOX CONCRETE SMALL LARG <br />vE _ �.i' � �Q�G - 7 1 `'r. <br />es I �.'J L <br />I n �N <br />DATE INSTALLEO: ., � ' OFF <br />-��..�;� ;`1,,,. o� <br />COOE � LABOR AND EOl11PMEN f RE6TAL <br />__I_l.ri��l.'�' �.�=. _— <br />—��i °���� <br />� _ <br />--I -- <br />—REMARKS: _ <br />SERVICE y� 2 7 <br />OROER n <br />OAT �-Li . �j�'-f— <br />W. O. <br />/L ✓ <br />AMOUNT <br />I <br />� <br />SUO TOTAL �9� Lf!.' <br />HOl1P5 � RATE <br />—-— <br />--- -- � <br />I <br />— � 1 � ' — <br />-- II� I — <br />�I � <br />--,, � <br />TO�AL <br />.. ___'_—'__ ___—�._ <br />