Laserfiche WebLink
F� �G � APPLICATION FOR SER`11C� SERVICEN° 1319 <br /> APPL. � Y.p,l / ORDF_R <br /> No. � <br /> CITY OF EVERETT WATER DEPT. <br /> ��FIXED . �.,-.<� . � .�__ DATE�ys.s��19LG- <br /> f'�" <br /> '�DEPOSIT ��,�,�_<_�:..! _ ,ii_i r r�/ No�_ — '—'--'_ <br /> SERVICE (BY AooNE56)�"' �', l��flfij- � 1�-c. 4�BLIC.—_—LOT PDD._ — <br /> 7 ✓ <br /> OWNER -- — --CONTRAC70R—_— ---- <br /> FLAT <br /> INSTALL._��—M£1'E72EO3�ROfCE-�f--l��_.� �,- �'�;_;a��+u. % - � �.�_�� __— <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCOROANLE WI7H TliLt`�«��Y.>�7 �� <br /> Ofi01NANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING� ✓'� <br /> OR AS SAAIE MAY BE HEREAFTER CHANGED. stcneo: X— -------— <br /> I.IATERIALS �H IH.� 1 IN. I 2 IN. I � PRICE AMOUNT <br /> PIPE �COPPER-- GALV.••STEEL I� � I �_I'_�IN-� <br /> s— I � _JI_� <br /> �__, T <br /> CORPORATION � �,��/ <br /> <CURB COCK (OT _f _I I�Y."/f _ <br /> ' �_ I , �, '(l.. <br /> SERVICE BOX / PLASTIC, -- C I I �`_' <br /> ' — �_._. , — _— <br /> METF_R VAWE _ _ _ ______ ---- <br /> METER No. TYPE: I_ t6 _ _____ _ __ <br /> METER BOX GONCRETE SMALL LARGE i i�� I <br /> G�-� - � �;- .; � ',', � _� --I- -�I��I� <br /> _�, _ i _ --_ �f�;,'� <br /> - - � � __�__ <br /> � � <br /> �- ON � �j SUB TOTAL �f :1 'J! �� <br /> DATE INSTALLED: � .� � OFF Jl ��, v ✓___ <br /> � / 7/ /, � �� <br /> CODE � LABOR ANDECUIPMENfRENTAL I NOUF5 FATE <br /> � ��� > !1. .1� 1(/ I,r•':: <br /> .Lf � . ��_-- ------- ------I ' ��� � <br /> I ---- <br /> --� � � .r - - I-.i.-- -�-=G_r��~� � -- <br /> _ �.-�--��---- - - - � -- --- - � - <br /> �� � <br /> - - - ----- -i-- --- � <br /> .. ___— _ .—__�____-_—_TOTAL �I�_— <br /> .__ �_ —_--__—._.__' _ .__' '_�_'______.---'_.'—__ I /�, , ' <br /> ���/C� <br /> RElaARKS: _'_____C..tS�.�L�.L-u—L-s.-;;_L�.�__—�_�_ . <br /> _____ _ : �- ----- -- / '__7`"- <br /> I <br />