Laserfiche WebLink
APPL. A s�(p / CITV OF EVERETT SERVIC6 [� �i � L <br /> No. O` ORDER NO. i <br /> APPLICATION FOR NIATER SERVICE g� <br /> � FIXED � DA��_1Gl� <br /> � DEPOlIT s Q�� _ W. <br /> � No. <br /> y �T �7J����_�_�._ � .����� <br /> sERVICE cw�oo-JJ�yr•? r •� � B�K.. LOT <br /> OWNER� / '� � ._CONTRACTOR /a _F3 � <br /> /� <br /> IN3TAL�METERED SERVICF _ _ _ <br /> I NEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ^ <br /> ORDINANCES AND POLICIES OF THE WATER OEPARTMENT NOW E%ISTING �� / \ <br /> OR AS S�ME MAY BE HEREAFTER CH�NGED. •IGH[o: X ��J <br /> MATERIALB Si IN. 1 IN. � 3 IN. I PRiCE �MOUNT <br /> PIPE �/ /q57'/�1 � COPPER-• GALV.-STEEL �� <br /> !� <br /> CORPORA710N � <br /> CURB COCK OT / I <br /> SERVICE BO7C PLASTIC CI � <br /> "�TER VALVE <br /> METER No. TYPE: __I_•f _ <br /> METER BOX CONCRETE SMALL LARGE <br /> � — I — <br /> / �y� — _- �L_I_ � <br /> r�.'1.���:j I —� — <br /> /o .00 � �6 .�..�itG ' � — — <br /> �� s�����—�y � �_-� — -- <br /> — ��_ �i <br /> ^,� �j ON <br /> DATE INS7ALLED: �('^ ��7�; I OFF �UB TOTAL <br /> U �/ <br /> CPDE ' LABOR AND EOUIPMEN�lRENTAL HOUR6 HATE <br /> � ,;� - - - I �- <br /> I —o?/�_3— -- - <br /> ; �-�'-�� �-/-- <br /> _ ��o _i <br /> � ------- �-- <br /> TOTAL <br /> REMARKS; r/� � ��_�,���� _ ___--LSCL - ' <br /> Y (1(O '!L'oG. ce,.,y-- S i t ' -- <br />