Laserfiche WebLink
pppL, �.. D i `� O APPLICATION FOR SERVICE SERVICE y° � O � `a <br /> ORDER <br /> w��a � ' � CITY"OF EVERETT WATER DEPT. /. <br /> �FIXED DATE.���� ��-19l�"/ <br /> � � DEP06ITs �� s,�/ `� �,Wj'O. _ <br /> _�_'_ / • � � � �6 t..�i-[.t,Z.-�- <br /> /,-� �f��' �i <br /> SERVICE ( YnDOReee) `�L1/`� � `'"L' OLK�1LOT�/LAD��/� �1��-'-����`=� <br /> OWNER �- � ���� '�'d' GONTI:ACTOR �" ""����''� . <br /> 7 � <br /> INSTAL l� METERED SERVICE { . / <br /> I HEREBY APPLY 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. sicwen: X ��+�_.���E �' <br /> i <br /> � MqTER1ALS �i IN. 1 IN. � 2 IN� � � PRICE AMOUNT <br /> PIPE COPPER•-GALV.--STEEL y � �_ ,�6 �I /i�Y� <br /> CORPORATION I I II ��/. <br /> GURB GOCK OT I _ �I I <br /> SERVICE BOY PLASTIC •- C 1 I � <br /> METER VALVE � '��j���-f-Q <br /> METER No T�'PE� . I "�-' J. �' " <br /> �•LS.�1a.t�-yQ2Y—�J-.2�t1.�- — -- <br /> METER BOX CONCRETE <SMAL41 LARGE �___ I�� <br /> I I <br /> _ — I_—I— � —��I— <br /> I I I �_I_ <br /> I I <br /> � I� <br /> � ON <br /> DATE INSTALLED: *. I ��p�-E /,����.% SUB TOTAL 6g a <br /> ' f__ <br /> CODE I LABUR AND EQUIPMENT FENTAL I HOl1R5 RATE <br /> ��� � _ _ �i..� �/' �� <br /> � � <br /> i� --1!-�-- <br /> � <� ,.;� , � -� _ � � >,- - <br /> ,� �-: , - - � � <br /> - ; _� r i <br /> � �� �� � �_ �. >�,� II .� � ,�, <br /> - -r ��__ <br /> �� --------- ' - <br /> Q� I I TOTAL , S7 77 <br /> REIIARKS: _ __ _ 1 <br /> _�y / � <br /> /Q�y .____- _. _.____—_--_. _.. __.._._. __._�____=—a-- <br />