Laserfiche WebLink
� <br /> �.1.?� .,.�i =� � <br /> NoP "`� CIF.Y OF EVERETT ORDEfRE NO. , - ��� <br /> APPLICATION FOR WATER S'cRV;CE �/,��1 �ry � <br /> � FIXED DA([ci-C�� /� G _iB_Gd_ <br /> �C <br /> � DEPOSIT s ���_�;��� 00. — <br /> l „ .. � . �� / �;�,. 9 - a��f- s ,=i�,v� <br /> SERVICE (BY ADqREeei � � - � � `� �f- ` )"- BLK._ LOT ADD. <br /> /�� 'ii r <br /> i <br /> OWNER'� � -. /�-.c''��i�� /C-.Ltt . -ON RACTOR <br /> � /'ii L � <br /> INSTAL '� - � ETERED SERVICE—_ --._ l , <br /> I HEREBY APPLY FOR THE ❑SE OF WATER IN ACCORDANCE WITH THE �� �� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING ' � ;,��� <br /> OR AS SAME MAY BE HEREAFTER fHANGEO. slcNeo: X -- "" - <br /> MATERIALS � IN. 1 . � 21N. ' I I PRICE AMOUNT <br /> PIPE _ COPPER--GALV.-- STEEL__ � I I <br /> CORPORAiION —f—F <br /> — I � , <br /> CURB COCK OT j I <br /> ' SERVICE BOX PLASTIC •- C 1 I <br /> METER VALVE <br /> METERNo. _..__.__ _,_ T'/PE: _._ __I �� — <br /> METER BOX CONCRETE SMALL LARGE <br /> __I _—_ —_ <br /> __. _ _—__ __—I J—'_ — <br /> — __ �i= ��— _ <br /> - - ----�-,-i-----�--i <br /> I� ON <br /> DATE INSTALLED: l� Z L/-- 7 �/ I n OFF SUB TOTAL <br /> ✓ <br /> COOE � LABON AND EOl11PMEN f RENTAL HOURS HATE <br /> � Ll'N� �- <br /> --- -- - tl�'v�E I_�- -- -- <br /> _ <br /> t' <br /> ' '�Z�-�z-- -- - <br /> _, _-__������-- -- --- <br /> �-. <br /> � � <br /> _; _- --_- -___- _ _____�- <br /> � <br /> , - - <br /> TOTAL <br /> REMARKS: � <br /> —_'__ '___'—' — ."__ __ - _. _. . _ ___ . . .__ ' .- __-_.__- <br /> _—' \ _ <br />