Laserfiche WebLink
5cii � lo �p��,K., �/.�W•� <br /> A�PL. ��(,�`� CITY OF EVERETT BERVIGE N° 6914 <br /> Na ��� ` ORDER <br /> APPLICATION FOR WATER SERVICE �� <br /> FIXED DA7E��1G_LL1 <br /> � W.O. <br /> ""`� � DEr06iT � No. <br /> 9ERVIGE c�Y�DD�u�) <br /> ��� `—�� '�"' � �' BLK.. LOT ADD. <br /> 'i � _ �"�-, <br /> OWNE �� CONTRACTOR <br /> FLAT /� —7 3�! <br /> IN3TAL ED SERV�CE �r�---f <br /> I NEREBY APPLY FOR THE USE OF W11TER IN ACCORD�NCE WITH THE � <br /> ORDINIINCES AND POLICIES OF TME WATER DEPARTMENT NOW E7cISTING <br /> OR AS S�ME MAY BE HEREAFTER CH�NGED. e�cr�eo: - - — - � <br /> � MATERIAU I Y� IN. 1 IN. � II IN. —I� Pp�CE ' AMOUNT <br /> p�pg COPPER••GALV.•-STE[L _ � <br /> CORPORATION _ _ � _ <br /> CURB COCK OT � <br /> SERVICE 90% PLASTIC -- C I I � . <br /> METER VALVE __ __ __.— —_— __._ <br /> METER No. TVPE: _____I '1 _ __ __ _ _ <br /> ME ER BO% CONCRETE SMALL LARGE � <br /> T —__ _—i --- - <br /> I I <br /> --- i--1- <br /> --� � <br /> - --i- �- <br /> - i i I -I <br /> ON <br /> DATE INSTALLED: I� Z^�(�7D I � OFF SUB TOTAL <br /> GOOE I LABORAND EOUIPM[NfRENTAL � MOURS RATE <br /> I --I <br /> I I _ <br /> I I __ <br /> �� — — —_ I_— _ <br /> �_ _ _— I <br /> =II __ � <br /> TOTAL <br /> REMARKS � � _._�y�- I �� _ <br /> n h) �.� � <br />