Laserfiche WebLink
APPL. /�Q'/ APPLICATIOtd FOR SERVICC SERVICE N� H O O <br />No. ORDER� <br />� ��; GITY O EVERETT N/ATER DEPT. ; <br />� ,�• % <br />� FIXED DATP ... _Y�.�L <br />I (� . . . _ _ ' /� <br />DEPO5IT ��� �- � <br />❑ S I�:'-C_�^�ti W.O. <br />� No. _ <br />e ^ l <br />SERYICE(BYADDHE6G)—._=�r��`// - � -��=j ���l�I� 3LK. LOT AD�. <br />� OWNER—_____.____ / CONTRACTOR <br />I\_' ��.-i:. :t / ., FLA'f . � � ' �,' . ' <br />i <br />IfYSTitL'L-_L_METERED 6ERVICE ���f__, C:.��r_��/ - ',t/'._.,..� - <br />-. 'T_ -- <br />I HEREBY APPLY FOR THE JSE OF WATER IN ACCOROANCE W!TH THE "" , <br />ORDINANCES ANO PO4CIF.5 GF 'HE WATER DEPARTMENT NOIV EXISTING ��� -. ..,./(-{ . t:.+ `._-, /i <br />OR AS SAME HAY BE HEREAFTER CHANGED, s�cNEn: X-...-1_s____._. - ��- __.__ <br />MATERIALS ?� IN.I 1 IN, 2 IN.I <br />PRIC_ •.MOUNT <br />^� � � I � ` _ <br />PIPE _ COPPER �- GALV.-- STEEL I�+�I �I I�I I � � r)!n i /`I���'�� <br />CORPORATION <br />CURB COCK CT <br />SERVICE BOX _w�e� <br />METER VAL.VE <br />METER IJo. <br />METER �OX CONCRETE <br />-- C 1 <br />TYPE; I �p <br />aMALL LAftGE <br />� ON <br />DATE INSTA:LED:` ^ ( / � OFF <br />c! <br />COOE � LABOR AND EOUIPMEN't RENTAL <br />REMARKS: <br />SUB TOTAL � <br />noua� I AAT� I 3/ <br />