Laserfiche WebLink
THPPL. � '��� %� APQLfCAi'!CN FOR SEBVICE <br />No. <br />��; i�,, CITY � EVERETT WATER DEPT. <br />� FIXE� � %� <br />. , ,I C.__ , �__� : �:__� <br />� DEPOSITg �:�; /�.f,y . ` J <br />� /J /� � � <br />SERVICE (BY ADORE68)__ / /`' �---} ��2"�� �1�� • _BLK. <br />! <br />�{.WJNER_ CONTRACTOR <br />/' -�,.-.�!:� J%�/ FLAT <br />1NSTALL }��'g�p_6ERVICE . _ .. <br />I HEREBY APpLY FOk THE I15E OF WATER IN AG:OF�;?-..:' WfTH THE � <br />ORUINANCES A8D POLICIES OF THE WA7ER OEPAR7tlLi;i NUVJ EXISTING ��_4�� <br />OR AS SAME MAY BE HEREAFTER CHANGED. SicNEo:X�— <br />I.IATERIALS I� °r, IN. AI 1 IN. I 2 IN. I <br />F'�PE �COPPER��-GALV.-STEEL ly5( I I�I <br />�RPORATION �� <br />CURB � OCK � 07 <br />SERVICE BOX � PLAST—� I j C I <br />METER VALVE , <br />METER No. 7ypE; I ys <br />METER BOX CONCR6TE SMALL LAP.GE <br />(`.; n... F�� �� C <br />� ON <br />DATE INSTALLED: � + � j _ � �j � pFF `��� <br />COOE I LABOR ANO EOUIPMENL RENTAL <br />I-�� -_ <br />—�--fFwa�,,= ,��. — <br />I L� -�33 <br />SERVICE �� � 2 2 u <br />ORDER�]� <br />DATC�' � fJ �,� � B��j_ <br />�N. O. <br />7 <br />���.. �/�'t-,O <br />�— i� <br />I PqICE (� AMOUNT <br />SUB TOTAL �!'�� <br />J <br />HOURS qATE <br />h t - �CJ G '; <br />. G �:/ - <br />I <br />2� _'%�_� �7z <br />�i � <br />� /.SJ�i i L I � / <br />TOTAL <br />REMARKS: � � �r- I <br />� � `�� v���h,---a-.�_C_c��,� �pm��t'__,�c�� �1 S( / c Ta <br />