Laserfiche WebLink
�, <br /> ����+��-�Y�/ � CITY OF EVERETT SERVICE { ;_ .� � <br /> No. ORDER NO. . �. .,_ __ <br /> APPLICATION FOR WATER SERVICE � ,/� � <br /> � FIXED DAT85�i/�•L�—1G.� <br /> �o i% <br /> � DEP091T S 3�S� N O. <br /> SERVICE lsY Aoo/�/p� s1� BLK.l�LOV1^?ADCX�i.'-pT� � <br /> OWNEF=--I�-�""� CONTRAGTOR � �' `� <br /> �� FLA <br /> INSTAL� / ETERED SER IC -- <br /> I HEREPY APPLY FOR TH�.'�S'E-6}W�TER IN ACCORDANCE WITH THE <br /> OpDINANCES AND POLICIES OF THE W�TER DEPARTMENT NOW EXISTING • <br /> OR AS SAME MAY BE HERE�FTER CHANGED. slcnEo: X . �"�O- <br /> i <br /> MATENIALB �i IN. 1 IN. � 2 IN. � I E OUNT <br /> PIPE �I ��, COPPER-- GALV.--STEEL _ � �� <br /> CORPORATION NI �DD� . <br /> CURB COGK OT j <br /> SERVICE BOX PLASTIC •- C 1 I I <br /> METER VALVE K �G�� _ ____ __ _ <br /> METER No. �pS�P�sf)C: TYPE: ��P.�- I >f _ ___ _ <br /> METER BOX CONCRETE �� SMALL LARGE _� ___ <br /> L-"iyl��'h 8 �5 ° �--- <br /> __ -LI i 5 0 7 -Li i- - <br /> I <br /> --� — — <br /> —� �i— <br /> // �f ON <br /> DATE INSTALLED: J p/ �3/8a I � OFF SUB 70TAL <br /> COOE � LABOR ANO EOUIPMENTRENTAL � MOURS RATE <br /> I s -�-�C I 5 _ <br /> � ,E�, �,�e I s :� _ <br /> � ��� — " ����� -- <br /> � 3�$ � 3 „ <br /> I -���-�'-- - <br /> I --- ----- ---- I - -- <br /> � � <br /> TOTAL <br /> REMARKS: �N�S/tiPSS __________ __._____ _— <br />