Laserfiche WebLink
7 3 O q � APPLICATION FOR SERVICE SERVICE N° � � �' � <br /> AP • ORDER <br /> �f0 •y CITY OF EVERETT WATER DEPT. DAT��-'� <br /> � . r <br /> � FIXED � W.O. <br /> No. <br /> � DEPOSIT s. i <br /> i <br /> _J���Z l BLK. LOT ADD.._----- <br /> SERVICE (BY ADDnEee) <br /> � CONTRAGTOR <br /> OWNER �� <br /> FLAT <br /> INSTAL���D SERVIC� <br /> O DENANC SPAND POLIC ES OFETHE WATER DEPARTMENT NOWWEX STING sl�n[o: X—' <br /> � OR AS SAME MAY BE HEREAFTER CHANGED pR�c[ TMOUNT <br /> MATEPI..L6 �.� II:.� � IN. � � IN. I � �� �{�I�� <br /> —�-/ I � I-- <br /> PIPE COPPER GALV.•-�TEEL 'S-/ �}-- - I,I ✓I� <br /> I �I��� <br /> CORPORATION I <br /> CURB COCK �T / I I': �b� <br /> SERVIGE BOX PLASTIG�• C � — __ I <br /> METER VALVE __ - I — _I� <br /> TYPE: 'S -- ---- �� <br /> METER No. — -- _ <br /> METER BOX CONCRETE SMALL LARGE _ I — � <br /> � L / � <br /> ______-- -'� -'-I- � '�- <br /> - �- - � <br /> - , <br /> � � � � <br /> � ON SUB TOTAL ��j 4 <br /> DATE INSTALLED: /(� - 2,S - l� �J I � OFF � <br /> � HOUR3 �� I�� <br /> CO�E � IAB�R AND EOUIPMENT RENTAL I <br /> � --- � h/ �! /7 � � <br /> ��I � �-� j l.-��G�. ��I! Y ��(%��� <br /> �-s-�� f � �l_ � - <br /> I D - �- --- -----���-- = : -:, j'�I i II.• ,� <br /> 7 <br /> I ,TOTAL II � <br /> RE�IARKS: -- � <br /> L.— <br />