Laserfiche WebLink
APPL. ��1�/Qr CITY OF EVERETT <br />No. J Y J <br />APPLICATION FOR WATER SERVICE <br />r:1 FIXED / <br />❑ DEPOSIT S /n 5f r E- <br />SERVICE (BY ADDRERq'J J� <br />OW NER_1� �rj ^t A _CONTRAC <br />�- nl�LCO------- <br />SERVIC <br />ORDERS N6119 <br />DATE_ -2L-_t 912� <br />W. O. <br />No.._—_- <br />14 X'A nn <br />INSTALL�'l—METERED SERVICE_ - -------- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WAT':R DEPARTMENT NOW EXISTING RIGNEO:X�,/�- <br />.ur uw Rc u[Pc •[T [a rH ANGrD - - <br />MATERIALS <br />L IN. <br />I IN. 3 IN. <br />PRICE <br />AMOUNT <br />PIPE �L/06p(cL/7 COPPER --GALV_STEEL <br />CORP RATi�►� f�-I/A�-l-- ___-� <br />CURB <br />SERVICE BOX PLASTIC -- C I <br />- <br />I <br />METER VALVE <br />M ETEO(�J� TYPE: I H <br />METE BOX COFJ CCCRRR ET E SMALL LARGE <br />40_ 3iLf000 3cl 7 _ <br />— <br />.340 <br />, 3�f op <br />DATE INSTALLED: C, <br />1 <br />ON <br />(] OFF <br />SUB TOTAL <br />CODE LABOR AND EQUIPMENT RCNTAL <br />HOURS <br />RATE <br />/ <br />CT 3ah.0 I 3 <br />—i ---- <br />- ------- ---- -- <br />I <br />3 }�I 3 <br />1 3 <br />-- <br />— <br />— <br />_ <br />TOTAL <br />REMARKS: <br />