Laserfiche WebLink
nPr����v APPLICATION FOR SERVtCE SERVICE No 2� z 0 <br /> I No, Cr 9�� ORDER <br /> � CITY OF EVERETT WATER DEPT. �� � <br /> � g �FIXED DATE_I L I_�a __19��- <br /> 1 <br /> � � DEPOSIT S 2 7� `�Q N O. __._—_ <br /> II ��I�AU(.� BLK S SSLOT��C�.ADD.�C•'�"�Tr� <br /> SERVICE (BY AOORE69)�� <br /> iOWNER��f'�-1_ �LµV�v}- CONTRACTOR _ <br /> � INSTAL�METERED SERVICE_..— <br /> i 1 HEREBY APPLY FOR THE USE JF WATER IN ACCORDANCE WITH THE . <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �' I `✓ T� �� <br /> � OR AS SAME M�Y BE HERE�FTER CH�NGED, sicHeo: X�..I��_ _—L�——_-- <br /> MATERIAL9 �/i IN. 1 IN. � 2 IN. I � PRIGE AMOUNT <br /> � plpE �COPPER -GALV.•-STEEL i�� I � <br /> I CORPORATION <br /> � — _ �—._ _ <br /> � CURB COCK OT I _ <br /> SERVICE BOX� PLASTIC -- C 1 I <br /> I ME7ER �;.>LVE 1 <br /> r—_ _—__"_— _ — _.—.-- -- _____ —___— <br /> iMETER No. ✓ �7 _.._TYPE: j �'/_�_76 __ ____ _ <br /> I METER BOX CONCRETE SMALL LARGE _ I _ _ <br /> 1 I <br /> � /�/�� � E/t' S f�/i ,�i %( � � �� — — <br /> � I. � <br /> I I <br /> I � —�I <br /> � -- -- -- <br /> I ---- �— �— - <br /> I � � � <br /> I I �"'� <br /> N <br /> ' DATE INSTALLED: �1 � - 7�p � OFF SUB TOTAL <br /> ' CODE ' LADORAN�EOUtPMENlRENTAL I MOURS RATE <br /> � —_—_ . _J _- I I�//{,' — _ . — <br /> I �.� � � /� J"'__.�I (w� <br /> � � �`/��—��L __ _—�l' � � � u _ —.. <br /> � � �_� � � --- <br /> I -- ----- �— - — — <br /> � � ----- - - - --� i -- - <br /> ' i - --- �- -- --- <br /> � <br /> ,_i <br /> I TOTAL <br /> I REMARKS: � � _ � .. / � LC/�i/�( �YI��"!' fa : <br /> � _��'�_—��1�����- 6 o X ��' _.J���-f_-r�� — <br /> , <br /> '� � ;;, ;-�,', i��,-,, � • .,. i�/::r/ -- <br /> I <br /> I <br />� - - - � � <br />