Laserfiche WebLink
v; ,y.;p . - . <br /> � <br /> APPr �/��� �CITY OF EVERETT SERVICE �l �) �j (1 <br /> No. n � �� ORDER NO. --- . f'. �.` <br /> APPLICATION FOR WATER SERVICE , �/�7 <br /> DATE �`� —1S!� <br /> � FIXED � <br /> � W.O. <br /> � DEPOSIT s�D No._ - <br /> p� /�') � 1�� ,,, � , <br /> 9ERYICE l�Y AODRGs)_ � `��� 't�J�"���t��' BLK._ LOT�—ADD. �`t�G <br /> G <br /> OWNE � � �'� CONTRACTOR <br /> INSTAL � M�ICE__._ <br /> I HEREBY APPL FOR THE USE OF WATER IN ACCORD�NCE WITH 7HE /� �� <br /> ORDINANCES AND POLICIES OF THE WATER DEPIIRTMENT NOW E%ISTING � , J/ �./ �� <br /> DR AS S�ME MAY BE HERE�F7EN CHANGED. eicr+Eo: X .I' -_!�J Y <br /> MATEFIAL9 L' IN. IIN. � 2'1 . � PNICE AMOUNT - <br /> I �PIPE COPPE GALV.•-S7EEL �k� _ <br /> �COR-PO--R-A�TION / - <br /> � CU� RB COCK OT I __� I— <br /> �� � I <br /> SERVICE BOX ASTIG -• C 1 _ <br /> METER VAWE ___ _----- -- — <br /> METER No. _ 7YPE: ___ I )f __ __ — � <br /> METER BOX CONCRETE SMALL LARGE ___ __ <br /> - .-- --_I � _ __ <br /> __" _ _— —I —J <br /> �A R U ?o Y a i' E ST�_�N(— —� �— — <br /> ,a _p c o G f�'�s1 —_I_� - <br /> �S' 9 -Q—�11X—-- -- , � ��— <br /> -- �� I I <br /> � ON <br /> DATE INSTALLED: /� � 5- _ �tY � OFF SUB TOTAL <br /> COOE I L�BOR AND EOUIPMENT RE�iTAI I MOIIR9 A�TE <br /> �� _—��./rl 6� --� I�! <br /> _�� N �—�._-- �_��— -- - <br /> � ��_�_ I ry � - <br /> ; �a a l ��3 ��,--i, �_ — <br /> -� - �' _ -,--- 3 - <br /> r ��r� I <br /> _i --- ------�-- <br /> �' TOTAL <br /> / <br /> /J�r/<> � TC n . ,- <br /> REMARKS: �lj' ,_f-f Par� EI D ..,a ,'Y'__C�j_1___------ � <br /> __ _ __ �r, __ <br />