Laserfiche WebLink
` � oP�' '� V��,.r � �PPLICATION FOR SERVICE <br />' � 9S2 � CITY OF EVERETT WATER DEPT. "ERVICE N� 2 2 5 <br />ORDER <br />� FIXED �J <br />� DEPOAIT s �L�C' � DATE � ?4_f. �;�19�, <br />t._� <br />___'— V/. O. <br />t 6 M o. <br />SERVICE(6YADDREg6) ~ /4 t .l <br />���-�--r {- A, C'� �; <br />9�K.____LO ��'�-ApD _ <br />OWNER O /J ��f �� � <br />�• FLAT �-- ----CONTRACTOR <br />INSTAL�_ --- � - - <br />I HEREBY 11PpLY FOR THE USE OF WATER IN ACCOPpqNCE WITH THE <br />CRDINANCES ANU POLICIES OF THE WATER OEPhRTMENT NOW EXISTING � q <br />OR AS SAME MAY BE HEREAFTER CHANGED. eicNeo: X_�`����L`/LQ�: <br />MATERIALS j� �N. � IN, I 2 IN. <br />P�PE ��;-COPPER, GALV. - STEEL _• � I�I�I��I P�-I� AMOUN= <br />CUR6 COCK , OT <br />SERVICE BJX ,'' PLA <br />METER VALVE —� <br />METER No. _ <br />METER BOX CONCRETE <br />� <br />- CI � <br />TYPE: I �� �— <br />SMALL LARGE <br />�•r c r• —/ <br />� <br />'� r� �" 9A / <br />DATE INSTALLED: �%� -/ ti` - � I ❑ ON <br />r ' Q OFF ��� %/ <br />CODE I LABOR AN� EOUIPMENT F[NTAL <br />���I i <br />�-� ` . �-�_ _ <br />- , - <br />�� _ �.: � -; ; , <br />REMARKS: �. . � � <br />— � [ <br />SUB TOTAL / <br />HOUpS RATE <br />�. �i. � J �1 � <br />� -,;��i ���� <br />_ - �; � <br />, <br />r <br />