Laserfiche WebLink
APPL. 1 <br /> ' H'o. � CITY OF EVERETT ORDERE N° 72H2 <br /> APPLiCATION FOR WATER SEFVICE /7 p <br /> � FIXED DATE—L� o _10� <br /> ' , � DEIWfITf D�CL IO PU�IIla�__�.I� `'_�_ NW.oO. <br /> eERVICE (w-�wnDeuq �� . `� 9 � /�� C/ W S� BLK._ LOT-2__ADD.�-�'-��+�--��G <br /> OWN[R �J/CLc..�ix.�a.�f- �r__ CONTRACTOR. <br /> FLAT� �7 �J <br /> IN3TPLL�_��_Cy�ERED SER �?/G � F / � <br /> I HEREBY APPLY FOR TF�USE OF WATER IN ACCORDANCE WITH THE � \ — — --- --_ <br /> ORDIN�NCES AND �OLICIES OF THE WATER DEPARTMENT NOW E%ISTING \' <br /> OR AS SAME MA" BE HEREAFTER CHANGED. �p•q��y <br /> MAT[RIAL{ �41N. 11N. I '� PNICE �MOUNT <br /> rlrE COPPER--GALV.•-STEEL <br /> CORrORATION �—� <br /> CURB COGK OT I I <br /> SERVICE BOX PLASTIC -- G 1 I <br /> METER VALVE /�'� � <br /> METER No. y.�jy. 7VPE:/ I S �--� �-�- -_— -- --- <br /> ___ t���- a-.-j--i_-_- <br /> METER BOX CONCRETE SMALL LARG� <br /> —__I � <br /> -._— —�i_- - <br /> - _ _�--�--��- <br /> --- --I���= - _ <br /> � <br /> I � ON � <br /> DATE INSTALLED: � OFF SUB TOTAL <br /> COO[ � LAlOR AND EOUIPMENf RENTAL I.OtIpS RATE <br /> � /OUo3 e 2- '-- <br /> i —� <br /> --I -- f•,. .. �,rllilv � <br /> � --- ' �— --- <br /> � �f ,. . � �-- - <br /> — i �:;.:.. — .,, ;,;I,,,,, — <br /> � <br /> TOTAL <br /> REMAR��l1f}FiC� -Y��i �� ___ <br /> . . . �n ..- � �« " m n �r. s- �r � . . m � s- s: `-'i <br />