Laserfiche WebLink
APPL. • �-y� I ^, 1 . <br />No. � I Vl.'� <br />I <br />/�j� FIXED � <br />��DEIW�IT: rQQ _ <br />dERVICEItvwno�nn_ `� <br />�� <br />CITY OF EVERETT $ERVICE <br />APPLICATION FOR WATER SERVICE onoeR o <br />DATE__�� 0� <br />W. O. <br />� �I� S " BLK._�LO,�T. f–a ADD�QI]L <br />1�� CONTRACTow �d/YY� T <br />I XE�EBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDIUANCES AND POLICIES OF THE WATER DEPARTMENT NOW E1fISiING � <br />OR AS SAME MAY BE HEREAFTER CHANGED. •ieNen:X. <br />MAT[q1AL! )4 IN. 1 IN. I= �N• I <br />r�PE COPPER •- GALV. -- STEEL ��� �� <br />CORPORATION � � <br />CURB COCK OT <br />SERVICE BOX PLASTIC •• C 1 <br />METER VALVE <br />METER No. TY�PE': <br />METER BOX GONGRETE /5 <br />OATE INSTALLED: <br />coo[ ���� <br />�I - 1 <br />; <br />� <br />REMARKS: <br />� <br />^�� ( 'J �JFF <br />LABOR ANDEOUIPMEN�fNENT�L <br />l <br />�"'_— <br />ICE �� AMOUNT <br />SUB TOTAL <br />MOUR9 pATE <br />i- � � � �. <br />� -a --- <br />I• � — <br />I' a <br />