Laserfiche WebLink
naPL. � � O��� nPPLiCi�TION FOR SERVICE <br />N�._ •`),� ��� CITY OF EVERETT WATER DEPT. <br />G FIXED �'/�C L /flO/27 0 Y �G�rkf/ > <br />� DEPOSIT S ___ � � <br />�,�.� � � _ <br />i <br />�� � � <br />SERVICE (BY ADDREB6)� ' • <br />. LOT <br />SERVICE N� � =� 2 .7 <br />ORDER <br />DATE�L�" ��-19�. <br />W. O. <br />No. <br />/i �YnMT— ' <br />INSTALL�I� . METERED SERVIGE � � � J� � � � '"� _ <br />I HEFEBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE J <br />ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW EXISTING slcr+[o: x L~1:-� =_ �-7_L��_ <br />OR AS SAME MAY BE HEREAF7ER CNANGED. —=KT - — <br />MATEHI4L5 �i IN. � I IN. I Z �N. I�_I PPICE AMOUNT <br />PIPE COPPER -- 3ALV. •- STEEL I I <br />GORPORATION I II I <br />CURB GOCK OT I _ _�L_i _ <br />BERVICE BOX � PLASTIC •• C I I <br />METER VALYE <br />METER No. �� � <br />__� __� <br />METER BOX CONCRETE <br />! i�'''%`;��X,S't�/ai � <br />: l^ �� ``+�(' /:i'. r`r%i; <br />/ ��—� ^�:.J .� � /�':. <br />� • . , <br />DATEINSTALLED: � <br />i .. <br />GODE I <br />REMARKS: <br />TYPE:;�" � � . I S6 <br />SMAI_L LARGE <br />'/• 1 /�. �}�. <br />,:;'1'�' � <br />�_ - d., <br />f ��' � � <br />I � ON <br />� OFF <br />LABOR ANO EOUIPMENT IiCNTAL <br />SUO TOTAL <br />MDUR3 I RATE <br />