Laserfiche WebLink
2 // APPl._C!!TION FOR SERVICE SERVICE N° 1 8 5 9 <br /> APPL.! I � ORDER <br /> NO. � /�f � �~" " CITY OF EVERETT WATER DEPT. <br /> oni•-3 —// —.te�'�' <br /> IXED <br /> �'U <br /> � DEPOSIT �G���� N O• <br /> G v'q-rrwy <br /> SERVICE (BV ADORE66) 4�� "" � z ,� /64J �� BLI:. LOT -J�ADD. �/�'�L� - <br /> OWNER G.��'Q-L- Li/�'L'�' ��<<�r�S' GONTHACTOR <br /> � FLAT <br /> INSTAL, 3/��D SERVICF � <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE iJ ' <br /> ORDINANCES AND POLICIES OF THE WATER DEPAR7MENT NOW EXISTING 6IGNE�: �/ `/ ����C�'L� <br /> OR AS SAME MAY BE HEHEAFTER CHANGED. <br /> MATERIALS �,S IN. 1 IN. I 2 IN. � I � PRICE AMOUNT <br /> p�og COPPER•-GALV.-STEEL __� _ I I <br /> CORPORATION I' — I <br /> CURB COCK OT I I I _. <br /> SERVICE BOX �� PLASTIC •- G 1 I I — �I I __ <br /> � <br /> METER VAWE _ _-- -- — <br /> METER No. TYPE: _I � _ ___ - �--- <br /> METER BOX CONCRETE SMALL LARGE ___ _ <br /> l S�� C T. S e rs, '_��___R -- - � �__ <br /> -- � — � I <br /> — �_ <br /> —I — — - �— <br /> ---� — <br /> — - �-I — <br /> �•ON <br /> DATEINSTALLf�: /._/� �;n,� I � OFF . �� ..+'��,1' . TOTAL -- <br /> / <br /> � I HOURS RATE <br /> COOE I L�OOP ANO [OUIPMENTRENTAL <br /> �— �Kw s14c�" � <br /> I G o Jch � ---�I <br /> � _�a ��__�'�-�u� o�h�cr! � I <br /> � ---- — � — �i � <br /> — � —'I I <br /> --� ----- --- ---;----- �_-�- <br /> i -- --- ---- -----�-- - ' <br /> ` I � / I TOTAL � <br /> i J/ <br /> REMARKS: ,�-� . � , � --f--- <br /> -�/� —.—_.-__—— � <br /> '_ � �C� ' �--- <br />