Laserfiche WebLink
`2 <br /> APPL' �fl•���� CITY OF EV�RETT seRvice �� -; � <br /> ' No. ORDER NO. . .. . I <br /> APPLICATION FOR WATER SERVICE ��/ �I� <br /> ` G FIXED DAT� J� /1821_ <br /> � DEPOSIT S �Q D / No. / <br /> y- r �/y.� � - <br /> SERVICE (e/r�wDDnEse) /a`� ��"��_BLK._ LOT / aD._�� <br /> OWNER�L ��{ '� � CON7RACTOR_— —._.—_-- <br /> // <br /> INSTAL � METERED SE.RVI --�� --- <br /> I HCREBY APPLY POR THE USE OF WATEfi IN ACCOP�ANCE WITH THE � <br /> ORDINA4CE5 AND POLICIES OF TNE WATER OEPARTMENf NOW E%ISTING <br /> OR AS SqHE MAY BE HEREAFTER CHANGED, yIGr+Eo: X��._ �L�� _ _ . <br /> MATERIALS a� IN. 1 IN. � 2 IN.� PRICE AMOUNT <br /> plpE S �� COPPER-- GALV.•-STEEL 3,5 I _ <br /> CURPORATION ��SQO ___ I _ _I� _ _ <br /> CURB COCK OT I I <br /> SERVICE BOX PLASTIC .•_f I I _ <br /> HETER VALVE _ I _ <br /> METEF No. TYPE__ I `S _ <br /> METER BOX CONCRETE SMAIL LARGE <br /> --���I�v���— —__� � � � — <br /> �--- - �� — — <br /> f O 5 fi �r W i rC 3.� !_ — <br /> —��'p/bs Ca%��k�K �rz� S-- — ----- —I- � <br /> , � <br /> - I--i—I I — — <br /> ON <br /> DATEINSTALLED: � ,� Q I � OFF _ SUB TOTAL - <br /> CJOE I L�BOR AND EOUIPMENfRENTAI ��--}}�� I NOUfi9 RATE <br /> I --.._ "—_ _ __——� s -'�---I�_„f __ — <br /> ^� � � ll <br /> I .1/�'1 ,1 l.___�_ __ _ _ <br /> i �_�/�� �� n --- — <br /> ; G� D� � �c.' � -�—°" — <br /> - ��� _/__ -- - <br /> � --- - -�3S�II " - - <br /> i--- -----� - <br /> TOTAL <br /> REMARKS: <br />