Laserfiche WebLink
�PP�' o��-�� � CITY OF EVERETT oRoeR� NO. , , � ��� � � <br /> NO. <br /> APPLICATION fOR WATER SERVICE � + � <br /> � FIXED � DAaFI��� —iB[.L�_ <br /> ❑ DEPO�IT s / W. n. V <br /> _�— No.—__ <br /> p� J� �9 � <br /> SERVICE (eY ADDRE/68)�tPO_�12�/7'�_��'� ' -�/ • �' BLK._��T./D V//A .� � # � <br /> OWNB�..1��1��1_:��� __ _CONTRACTOR_ <br /> � FLA <br /> INSTAL /� �TERED SERV CE�___——_ __ <br /> .--� <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORD�NCE WITH THE -� � � <br /> ORDINANCES AND POLICIES OF TNE WATEN DEPARTMENT NOW EXISTING ;� .,, . � - " -- <br /> OR AS SAME MAY BE HEfiEAFTER CHANGED. sicHeo: X _�._�_—.______ <br /> M/.T[RIALS ' � IN.i� 2 IN. I I PflICE I AMOUNT <br /> PIPE COPPER–GALV.--STEEL_ __ _� � � <br /> CORPORATION � <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C I I <br /> METER VALVE <br /> METER No.________�CV 3. _ _ TYPE: _ "'_ __ I_`S — <br /> METEF BOX CONCRETE SMALL LARGE <br /> _—_—I __I—_ -- <br /> —_ — I I — <br /> _ '—I __ <br /> I <br /> � � �� I <br /> ON <br /> DATE INSTALLED: �i�_'r\7 ) I � OFF SL1B TOTAL <br /> 7 J <br /> COOE I LABOPANDEOUIPMENtq[NTAL HDURS '- C <br /> _ l_�� �L?•��_�I�L�C / i'/P ._ _. - �'1_�IY��I .��/IiJ <br /> I <br /> _I _ - -__ I -- - --__ <br /> �I _. _-� / '�-"y-�� i <br /> 1' / <br /> . _._-__ _.___ _ _ _ __ _ ___-__ .__- _____ I - <br /> _- I - <br /> TOTAL I <br /> REMARY.S: i �� '____"____ _ <br />