Laserfiche WebLink
APPL. aCs6 �� CITY OF EVERETT SERVICE <br />No. ORDER NO. <br />APPLICATION FOR WATER SERVICE <br />FIXED O, / DAZ�,a 19 <br />DEPOSIT Li0 ' -/ No.O.- <br />SERVICEL1?/ BLK.__-_LOTI� AD�•e`a - <br />OWNE CONTRACTOR- - - <br />A <br />INSTAL METERED SERVICE --.-. <br />1 HEREBY PPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: C - <br />MATERIALS <br />iL IN. <br />1 IN. <br />1 2 IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER -- GALV. •• STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />METER No. TYPE: I H <br />METER BOX CONCRETE SMALL LARGE <br />I <br />I <br />DATE INSTALLED: <br />/I•r (,! S95 <br />"1. <br />V ON <br />�jY OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EOUIPMENf RENTAL <br />HOURS <br />RATE <br />P4 1.v->- s)cTR' <br />TOTAL <br />REMARKS:Sjti%L,G D UP'!'�'� �''-��I1, t L) <br />0 <br />n <br />m <br />—I In <br />O 70 <br />m a <br />m <br />x <br />0 <br />o r <br />c-1 m <br />C (n <br />(n <br />m <br />1 r <br />• m <br />