Laserfiche WebLink
APPL. �J� J� <br />No. O� •� <br />� FIXED �� � <br />M DEP081T s <br />w <br />aERvic¢ uv �ooeuq <br />CI'iY OF EVERETT <br />•APPLICATION FOR WATER SERVICE <br />I/ LAT � <br />INSTAL 3 ED SERVICF -- �-- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />OR�AS SAME MRY EL'HEREAFTER C ANGED DEPARTMEflT NOW E%iSTING ���HEo:X-- <br />MATENI�LB �G IN. 1 IN. � 3 IN. <br />P�pE COPPER •• GALV. •- STEEL <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />M�TER NAWE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -• C � <br />GONCRETE <br />DATE INSTALLEO: <br />CODk I <br />REMARKS: <br />7YPE: I �� <br />SMALL LARGE <br />I � ON <br />�f OFF <br />�BOR �NO EOIIIPMEN�f RENTAL <br />SERVICE <br />ORDER AIp C � � � <br />IV /�� �/ <br />DATE�.—YJ-10�IQ <br />W.O. <br />IJO. <br />tio�beck . <br />PqICE <br />SUB TOTAL <br />HOUN9 � RATE <br />�MOUNT <br />i= <br />.. � , �.1 ' �' .. -.•o-�.:'ta„� <br />