Laserfiche WebLink
A P P'•. a <br /> I <br /> No. �^�'��� � CITY OF EVERETi ORDERE NO. + <br /> ��r�t !cnTioN Foti tvnrEn SFitvic� / <br /> � FIXEO Dp'�l��2�.�"�` _ 19�_j <br /> <'i <br /> ❑ DEPOSIT �1 W. O. <br /> S- .-.,J� _ ' Na._ _ — —.--_—.— . — <br /> �J � � �/ Al ^ 5.P- /c2aa -J�"'�4� <br /> 5[RVICE IBvwcoREee)_- ��� / __ �""+' �'�G-'L. �✓�- �____BLK.. __ _ _LOT/`i-. -_�DD__ _ _ . _ <br /> OWNF_R�'�c'L�v J C���'_YV_%/J�'� ' —_CONTRACTOR. <br /> �� � (/ — _' __ _ ' /. _ _./_ _'� _ —_ —_ <br /> INSTALL ���f METERED SERV:�r_ '—_ ' __ _ __'—____"___.—__ ___�J'� _.. _ _ <br /> I HEREBY APPLY FOR THE I15E OF WATEh IN ACCORDANCE WITH THE ��i� �(�`�/✓_ - <br /> ORDINANCES ANU POLICIES OF THE WATER �EPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE NEREAFTEF CHANGED. sicH[o: X . . <br /> MATEPIAlS , l� IN.� 1 IN. 2 IN ' pplL �� AMOUNT <br /> PIPE COPPER-- GALV.•- STEEL I`—� I I <br /> - - - - _ - �--�----�- --�-- -- --- - <br /> CORPORATION � ' I <br /> -- _ —. __ '_—_ — _�— I_ _'�_____—;-- __ .—_ — <br /> — _'_—_—'___._'--_ ' .. '___ —__ —_—__—_ <br /> CURB GOCK OT � i, '- -'-' "" — <br /> SERVICE BOX PLASTIC C I � <br /> METER VALVE I <br /> METER No. . . . . . TYPE: � '� �� � —�--- � � � �— - �-- �- <br /> METER BOX CONCRETE ISM1LL LnRG . � I <br /> _'___ —. � I _. . . . . . I ._. ._- <br /> _ —� I <br /> � � � � - - <br /> -- �� --P�'� - 'U �� � � �-- - <br /> - _ _ � i �P� � �P ►�'i, �.��- �G`� <br /> - - --- -- _ _ G� d �` '�' 4 <br /> �'14 ,,''�� - - - <br /> — � oN C�� , i,� <br /> DATE INSTALLEO: r OF�9T (��SUB TOTAL <br /> CODC �ABOR AND EOUIPMENf RENTAL vP G HOURS RATC <br /> __- _ _ . _..n(re � _, � <br /> . __ l� � _ '_-�. - _. ___ _ ___ .-_. _ <br /> _. - _ . _ ____- - __ . . ; _ <br /> -. _- - __ _. . __- __ . __ _ _ . ._ . <br /> _ . _-I_-- _ --- _..I _ <br /> _ -_ _-'_ -__"_ <br /> - - - ��� � � <br /> 3 GT - I <br /> !-- - - - <br /> - ---- --- I <br /> --- - ' _ <br /> - <br /> --- ------ _ _ - - -- <br /> -- I TOTAL <br /> REM1tARI(5: � <br />