Laserfiche WebLink
APPL. ��C�/�f� APPLICATION iOR SERVICE aenviccN� �.�H� <br />~�.- ��, CITY OF EVER►TT WAT�R DEPT. �RDER <br />� FIXED '' ��/ � DATE��=/ —IB7� <br />GEPi (J'�/G�UG%� W.O. <br />� DEPOSIT s No __ <br />(c� /� % gfi.E' S �/'L� �//-'P[- . $'ct . �o �ZSZS"" <br />SERVIClI�YAooRu�) BLK. L��7 ADD. ._ <br />OWNER—_C�� � � � �� i���� CONI'RACTOR —_ — <br />q n �} <br />INSTAU G MET[R[D SERVICF <br />I HEHEBY APiLY FOR TNE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES ANO fOLICIES OF THE WATER OEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE H[REAFfER CNANGED. emNco: X__ — _—�__—_ <br />MAT[I�IAL� iG IN. 1 IN. Y 1 . �� I PRiCE AMOUNT <br />PIPE COPPER - GALV. - STEEL �I I I' � <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX <br />METER VAI.VE <br />_METER No. Z � <br />PLABTIC - C I <br />LunKeHla-el.+�ev . <br />_ TYPE:t��ld•nT � <br />� .e> <br />METER BO% CONCRETE gMALL LARGE <br />_ G� � v, �i o --- <br />„ � <br />-- —��-�n- -- <br />.s � � . 1 . � <br />0 <br />DATEINSTALLED: <br />COOE I <br />� <br />� I n �N <br />Z-I2-72- � OFF <br />LABOp ANO EqUIPMENTRENTqL <br />._L'_ —I�________ <br />— ' r��h L--- -- <br />—! -- Ja h�_,_� � <br />� i ,� �=1� <br />hVlucryc,. <br />REMARKS: <br />SUB TOTAL <br />NOURS ` RATE <br />