Laserfiche WebLink
.qpp�,-?- d/A APPLIC',TION FOR SERVICE SERVICE N° 3 5 O <br /> � ORDER <br /> CIT�OF EVERETT' WATER DEPT. � / � <br /> No. <br /> �`�� 9 i ��`� DATE / �-1D� <br /> � FIXED �G=7 <br /> � DEPOSIT ��� — � No�� ---- <br /> SERVICE (eYADonees) /��D ��`--`� 6LK. LOT--.'vDD.— <br /> IH��W�N�E,,R� �1 �GONTRAC//T��OR <br /> �y�.r�c� �j� FLA�T U-SERVICE—L��v� � j"t. '3/—=N> ' ` _" �'LCu�/ <br /> // J � <br /> I f�FREBY APPLY FOR THE USE OF WATER IN ALCORDANCE WITH THE � �/ <br /> ORLINANCES AND POL�LIES CF THE WATER D2PARTMENT NOW EXISTING . /G_�� [,�-f � ) <br /> OR AS SAME MAY BE HEREAFTER LHANGED, sicneo: X —yL--- <br /> MATEPIALS �S IN. t IN. � 2 IN. I I PNICE AMO NT <br /> p�pE COPPER-•GALV.--STEEL � �_� _ I _J_� •J7. �I II�Z�, <br /> CORPORATION L <br /> CURB COGK ��. OT i� I �LL. <br /> SERVICE BOX � PLASTIC •- C 1 I � r <br /> METER VAWE — --- � --- <br /> METER No. _ �— --7YPE: I '* — _ . <br /> METER BOX CONCRETE SMALL LARGE __ I <br /> ,?i � �I � ���� <br /> / ,.� .- � _ I - ��� <br /> I <br /> - -� I <br /> I <br /> I <br /> � ON <br /> DATE INSTALLED: i,.� � OFF . ' SUB TOTAL /�'� <br /> i <br /> COOE I LA90R AND ECUIPMENTNENTAL � NOUR9 RATE <br /> If 5���� f� �� S: <br /> � � � � <br /> � ' / �__ ; � C I I I��I J I <br /> I � �I I <br /> II � <br /> --� - 1- i � _ <br /> � I <br /> — I TOTAL ,J6 � <br /> REMARKS � _._._____ �-�. <br /> 5 , <br /> - -- --- - _ __ - <br /> --- _- _------- - <br /> , <br />