Laserfiche WebLink
APPL. ,� T" �� APPLIC4T�ON FOR SERVICE <br />No. ' <br />�,,� ���,� CITY OF EVERETT WATER DEPT. <br />ry� FIXED <br />e�� ��� <br />❑ / � — <br />❑EPOSIT 5 i_ , %__ i <br />�.� ``- .�iI� ggg...222--- <br />���SERVICEtevnooeess� �..�IG ' ��.�_�'-7�r/.�i�_��, pLK.� <br />� !/ <br />OWNER_ � _CONTRACTOR� <br />� , _ — � <br />� i FLAT <br />INSTALL M£TE73E[S-SERVICE ^ <br />I HERE9Y APPLY FOR THE USE OF WATER IN ALCORDANCE V/ITH THE � <br />ORDINAN(:ES AND POLICIE� C: THE WATER DEPARTMENT NOW EXISTING <br />OR AS SnME MAY 8E HGR6'AF1'ER CHANGEO. slcNeo:X � � <br />�� MhTERIALS I�/i IN.I � IN. � 2 IN. <br />PIPE COPPER -- GALV. •- STEEL I( ' I I� <br />CORPORATION <br />CURB COCK <br />SERVICE 90X <br />METER VALVE <br />METER No. <br />METEit BOX <br />OT <br />CONCRETE <br />C -• C I <br />TYPE: � 'S <br />SMALL LARGE <br />/ � � ON <br />DATE INSTALLED: /I- , , � ���u QAFF <br />COOE I LABOR ANO EQUfPMENi RENThL <br />r <br />SERVICE �J° 7 4 3 <br />ORDER <br />1_�,%_] ti <br />DATE �� ' _��_ <br />�v. o. <br />�Ao�Y/�Zl�, .�Ul.'�r� <br />PRIC[ �1 AMOUNT <br />SUB TOTAL I � //') <br />7r <br />iHouqs �nre I <br />--rj- �- <br />,_ i� <br />I ��� --: �-i II i <br />I il � <br />-I -- !'� I <br />i -_ <br />- -- -----� -- �- <br />I �i I <br />TOTAL� I /� <br />REMARKS: SFl V ] ::2 � ,-� t r-� llc d b �uil�er __ --- ---- -_ ----- -------- <br />_- — — _ <br />%� � -- -- <br />, �� i 7 „ �, . : � - % -i. � '... <br />1_. - ,_ - - -- -- _ ___ - --'- - <br />