Laserfiche WebLink
APPL. <br />No. <br />/�lflx o <br />FIXED ''// /y <br />El S /V'-) 1. <br />SERVICE (BY ADDRESS) <br />APPLICATION FOR SERVICE <br />CITY EVERETT WATER DEFT <br />SERVICE N2 87 <br />ORDER <br />DATE 1 ////�/e5EI96 y2 <br />No. <br />4yNF9 _CONTRACTOR <br />3� y rocr -- - — <br />JttY AP METERED SERVICE {-{��— <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WIIH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. s1aN[D <br />MATERIALS <br />'A IN. <br />1IN. <br />2IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER -- GALV. - STEEL <br />I <br />___ <br />• <Q <br />[ <br />CORPORATION <br />CURB COCK <br />OT <br />L <br />L�5r8�9 <br />SERVICE BOX <br />METER VALVE- <br />- PLASTIC - lC II <br />I <br />- <br />METER No. <br />— <br />TYPE: I <br />4i <br />METER BOX <br />— <br />CONCRETE SMALL LARGE <br />- <br />-I <br />I <br />"elI <br />L_ <br />� <br />DATE INSTALLED: <br />E ON <br />OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />I' 6 <br />TOTA I_ <br />SOI,JD <br />REMARKS: <br />