Laserfiche WebLink
�� <br /> APPL. �/_ � zZ CITY OF EVERETT SERVICE <br /> No. U7 ✓ ORDER 1� <br /> APPLICATION FOR WATER SERVICE M�`�� S 4 O 1O�� <br /> '� FIXED M^ DATE_!1_I��_i91�� <br /> v� <br /> � DEP0317 s _� W.O. <br /> No.___�_ <br /> I!l � /� eC #Z F�//bn y L4nc/in <br /> SERVICE 1er�ooq[�n�-/-lJ Z,z/ O �fM /7-y[�_�J�__BLK.. LOT ADD.� <br /> OWNER CPDfA) I�ES !_P�h� CONTRACTOR_ ,. C. ��_�_)��Lp <br /> � n �`'+� <br /> INSTALL METEREO�RVICE__ ,_ __ _/J <br /> I HEREBY APPLY FOR THE USE OF WATEH IN ACCOpO�NCE WITN THE ���A . //i�� <br /> ONDINANCES AND POLICI�S OF TME WATER DEPANTMENT YOW E%ISTINL /:// <br /> OR AS S�ME M�Y BE HEHEAFTER CMANGEO. elcHco: X %l[_ �_ _ <br /> MATERIALS - w H� ItN_ i = �H• I � PRICE j AMOUNT <br /> � _��i <br /> PIPE COPPER•• GALV.- STEEL I _I_ i <br /> CORPORATION � <br /> —_i I --J <br /> CURB COCK OT I _L_I_ _ <br /> SERVICE BOX PLASTIC -• C I I I <br /> METER VALVE <br /> METER No. �D �—'-�'----TVPE:PRL"��ISI�Y�'�,� - - --- �' "— ---' <br /> _ —__ __- <br /> �---_ .. _ _- . _____ _.' "' — —__—I-- _ _— _'- <br /> METER BO% GONCRETE __SMALL LARGE __ _ _ I <br /> —_ -_"- _— i _�I— __ _ — <br /> I <br /> -I _�— — —_ <br /> —'—I— �— —' — <br /> --- -- I --I�----- --- - i <br /> � -I�'��d' I � �N <br /> DATEINSTALLED: OFF SUB TOTAI <br /> COOE � L�BOR ANp EOUIPMEN!qENTAL I NOl1R5 HATE <br /> �' -- ---���-�`-'Q � <br /> I I <br /> � G z��/-D3 - -- �-- -- — — <br /> - -- - - ----- - � -- <br /> � —i — -- — <br /> - - - - --- — <br /> I �- --- � <br /> _ � -- - -------- --------r- <br /> i <br /> TOTAL <br /> REMARKS: <br />