Laserfiche WebLink
AppL. ' 9� � 9 APPLICATION FOR SERVICE <br />No. . <br />j9� �<J CITY G�F EVERETT WATER VEPT <br />� FIXED <br />� �y ___F ;� 1 I�/ <br />� DEPOSIT S �GO. rC �—�-����'t�_" -'.'�' �Y7L <br />��/�_ / /A L � <br />SERVICE cer noonsesl BLK�. <br />__"_"..�..l,/ E'-. <br />_ ... _�_���, FLAT <br />INSTAL� YAET-@R[D SERVICE---- —7 <br />I HEREBY APPLY FOR THE USE OF WATER IN ALCORDANLE WITH THE �- <br />ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW E%ISTING <br />OR AS S�ME MAY BE HEREAFTER CHANGED. sicNa�.o:Xy <br />MATEfilALS I� IN. � 1 IN. I 2 IN. <br />PIPE ��' <br />CORPORATION <br />�RB COGK� Ol� <br />SERVICE BOX PLA' <br />METER VALVE <br />METER No. <br />METER BOX CONCRETE <br />DATEINSTALLED: <br />�- <br />CODE � <br />GALV. -- STEEL <br />-- C I <br />TYPE: � `4 <br />SMALL LA.RGE <br />� ON <br />LABON AN� EOUIP:AENT RLNTPL <br />SERVICE N� 4 3 4 <br />ORJF�j2 <br />,� a-J <br />/ ' � ' � <br />DATE=• "' Z� / L_18� <br />W. O. <br />Vo. — <br />� .-- <br />PRIC[ <br />sue rorn� <br />HOURS RATE <br />L� p,'. <br />-� <br />�I � <br />' f.4 ���(�)!li .-._!I_. <br />L--1_' <br />�I � <br />�I � <br />TOTAL <br />REMARKS: <br />" _ �� _-- _ __'_—__._ ___— _—_—_ _- <br />3 <br />—( <br />r <br />