Laserfiche WebLink
No. <br />No. to EE W <br />FIXED <br />Ei DEPOSIT S <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER ND C 2� <br />DATE al Z 4—U10 <br />1.3 <br />SERVICE (BY AIII���DyyDD��-RE...1tl �A ,---1/-u1--4C4 r1�1-v-r-L `=,(��I P. BLK.- LOT_- _—ADD.g4�1_11I 4 <br />OWNERD->�G-� �n-`L--+x'�-Yt—y C,-ONTRkTOR_ ---- - <br />1 :_AT <br />INSTALL�METERED SERVICE -- - — <br />I HEREET APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING nR ♦e CAMF WV RV HFRFAFTFR CHANGED. SIGNED:X � � -- <br />-MATEIIIALS <br />Yi IN. <br />I IN. j 2IN <br />PRICE <br />AMOUNT <br />PIPE 360 b 0 1 q l COPPER -- GALV. -• STEEL <br />_ <br />COR RATION 31700 y7 <br />— <br />CURB COCK OT(— <br />SERVICE BOX uPLASTIC -- C I <br />METER <br />MET No.�_ TYPE: <br />�� <br />RrOX�g�/ �G <br />------ <br />�MET�EI <br />q <br />agrr.:, 60)— <br />AQAP-^_•goo--- <br />L'vuP 6;Yg7 --- <br />— <br />-- <br />— <br />— <br />I <br />_ <br />DATE INSTALLED: <br />fl /11 ay 9� <br />V ON <br />J OFF <br />SUB TOTAL <br />CODE LABOR AND EOUIPMEN f RENTAL <br />HOURS <br />RATE <br />LIE <br />TOTAL <br />REMARKS: <br />