Laserfiche WebLink
qPPL. ifQ�S APPLICATION FOR SERVICE SERVICE j�° G � <br /> No, <br /> ,sj o 5'� CITY=OF EVERETT WATER DEPT. �RDER <br /> � n� � DATE �II•) �' ���19� <br /> � FIXGD � <br /> ��'I�i���i_E-!.i_�`._4-� W.O. <br /> � DEPOSIT s ��I C C.�.Il Ci � No. _ <br /> I <br /> SERVICE �evnooRess�_— �J� � / � ~� � —BLK. LOT 4�D. <br /> �OWNER_ CONTFACTOR <br /> �.('qlc�-c! �/l/ FLAT . � <br /> INSTAL, � ! •ME�ERiB"9LflViC�.���- e`- I�_�-L.� <br /> I HEREBY APPLY FOR THE IISE OF WhTER IN ACCORDANCE WITH THE <br /> ORDINRNCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING � � �ii. % � �-_ ��' ��i.� ;L <br /> OR AS SAAIE MAY BE HEREAFTER CHANGED. slcNEoz7 --�� '� �' <br /> i <br /> MATERIALS �/� IN. 1 IN. � 2 IN. I I PHICE AMOUNT <br /> PIPE COPPER•- GALV.--STEEL ,3G� (_ � y�ll� <br /> CORPORATION I <br /> — I ��_ <br /> CURB COCK OT I <br /> SERVICE BOX PLASTIC -- C I ! I II I <br /> METER VALVE __ <br /> METER No. TYPE: I !S <br /> METER BOX CONCRETE SMALL LARGE I � <br /> T ---I - ���L�3 <br /> �. �, , L--� �3 <br /> � { � <br /> - < <' I I <br /> � I <br /> �- � <br /> �N <br /> DATE IN5TALLED: � . � � _r 1 � GFF ../�' ; <br /> SUB TOTAL � 90 <br /> CO�E � L�60R AN�EOUIPMENT HENTAL HOl1R5 RATE <br /> I �1 /��iL�C( _j �� 'i,� � � l� � 2� <br /> i �� � <br /> � <br /> I �)i�yt,cli � N_ �` 1- � �1 �.� � � I �'I <br /> � i � il � <br /> I� y -- � °� ' ° i,' � ' ``�- <br /> I - ---- � - '� --�-- - <br /> � I I <br /> TOTAL � S3 <br /> RE�IARICS: 1� L�.!' � � / � ' j t -1� c n `� ... .: // l�lf,i��� <br /> ,'��,'`k.7���- •—���/� --f /' 7 � � <-- . _, <br /> �_�iL3�Y'r�----'_�___1u=._,t__�._�L-/ •�� - . _L7=�_�4��'1=—�t"-��`'`--��--- <br />