Laserfiche WebLink
AF'PL. It <br />1 4-I S S APPLICATION FOR SERVICE <br />NO -' CITY Off, EVERETT WATER DEPT <br />/IC�/ <br />FIXED ////Jy11, ///'''���///' .�j)' <br />C� DEPOSIT SN�. <br />SERVICE <br />L�WNER CONTRACTOR- <br />- /A / A /%. n,,,'l-. <br />SERVICE N2 1042 <br />ORDEE")/ <br />DAT �1 B <br />No <br />I HEREBY APPLY FOR T14E USE OF WATER IN ACCORDANCE WITH THE ' '/ <br />ORDINANCES AND POLICIES OF THE WATER DEPAflTMENT NOW EXISTING ,[f;&±4 <br />r�eurcD SIGNED: —Y9 <br />MATERIALS <br />PIPE COPPER --GAI_V.--STEEL__ <br />CORPORATION <br />Y. IN. <br />I IN.1 2IN. <br />(i1-En <br />AMOUNT <br />- <br />CURB COCK , h�L— <br />SERVICE BOX (PLAJ G -- C I <br />METER VALVE <br />-- <br />METER No. <br />TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />I <br />DATE INSTA LLE D:.7 , <br />S _ I/ <br />n/ON <br />OF ( } <br />SUB TOTAL <br />L7/ <br />CODE <br />LA60R AND EQUIPMENT RENTAL <br />_ HOURS <br />ROTE <br />TOTA <br />REMARKS: <br />