Laserfiche WebLink
APPL. '7 / /_�S CITY OF EVERETT 5ERVICE <br /> No. f,lYlD APPLICATIONFORIVATERSERVICE QRDER ^�0 5403 <br /> I` '- <br /> DATE—J�Q��__IBs.� <br /> �. F�X�o �p�� <br /> � DEPOSIT s p�p�__ ____ <br /> 9ERVICE (eY wDDeU�)—I Q����/—v���'-S� BLK._-_LOL ADD._-_- <br /> OWNER ` .!n!U_��S_j:P�/L CONTRACTOR_�(�_I�SCQ_�L�- <br /> 1 <br /> INSTALL ' METERED�a�ZRVICE____ _-- -- - ---n/ - <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCOHOAHGE WITH THE ///�� L /�� /J�/AA// <br /> ORDINANCES AND POLICIES OF THE WATER DEP�IRTMENT NOW EXISTING �/i�� / _ - <br /> OR AS SAME MAY UE MEREAFTER CMANGED. eicrv[o: X cx- �.--- -C_✓��9_ _..___ <br /> MATERIALS Y� IN. 1 �N. j 2 �N. � �RICE AMOUNT <br /> PIPE COPPER -- GALV.•-STEEL L _ I_ __ <br /> CORPORATION � _I_I_ _ <br /> CURB COCK OT I I <br /> SERVICE BO% PLASTIC -- C I I �_ I , <br /> i <br /> METER VAWE --. -_ __ _ —_... I _ __ _-_-- _ _ <br /> METER NO. �O_SL� _ _ _TYPE:riI���S��NI '��__"�__'___�I __ ____ ' _ <br /> METER BOX CONCRETE SMALL LARGE _I__� _ <br /> - _-_—_.__ -_i_I _L�.� _ <br /> _--__. _ I �— _' - <br /> _ '_I _ <br /> _ __- —_I_ — -- - — II <br /> I <br /> - -- �i, I-i�-- - - <br /> I � ON I <br /> DATE INSTALLED: �/1 C�'�'�/1 �OFF SUB TOTAL 'I <br /> 1 / <br /> CODE I LABORANDEOUIPMENfRENTAL I HOURS RATE <br /> - � - ---- c`' ,c���ia/r --- � - -- <br /> —�— <br /> � �--- --- -- <br /> _ �aa� _�3 - --- -- - -- <br /> --- �i - — <br /> i - --- - - --- �— -- - <br /> i -- - � <br /> TOTAL <br /> REMARKS: <br />