Laserfiche WebLink
� _ APPL. a33 � � � <br /> No. � CITY OF EVERET'f seavice � . ,� <br /> APPLICATION FOfl WATER SERVICE OROER NO. ��, . '9 :._ <br /> � FIXED ��.. DATE� z �gf)-..� <br /> �..L'_ <br /> � DEPOSIT s 6� W.O. <br /> No._____ <br /> �� n � <br /> SERVICE �ar�oaq�Bs�—�/1. .���_ �LL�,��� � �/ <br /> r,///�(/�/i El�aC- r -BLK._ LOT c�.'SADO"/ ��'�� <br /> OWNERG�N�? ���7{!ti� �(�_ � CONTRACTOR_ �� �`��J <br /> � E2"y�'�—__ <br /> INSTALL�_METERED SERVICE—__ _ _— <br /> I HEREBY APPLY FOR THE I15E OF WATER IN ACCOROANCE WITH THE � � /' <br /> Oq01NANCES AND POLIQES OF THE WATER DEPARTMENT NOW EXISTING � �� <br /> Ofl AS SAME MAY BE HEREAFTER CHANGEO. eicHEo� X ��� <br /> MATEHIALS YiIN. IIN. � ;'SN. � � PRICE AMOUN'f <br /> P�PE COPpER--GALV.•.STEEL <br /> —_— -- __—I �' — <br /> COqppRAT10N <br /> CURB COCK OT i � — ' — <br /> SERVICE BOX PLASTIC_- C �_ I <br /> METER VALVE � <br /> METER No. _ . _TYPE: --��—_'_I v6 --- -- <br /> METER BOX CONCRETE SMALL_LARGE I <br /> ___--—__'— I —�— <br /> —_ —�' '_I I— —" <br /> � _� <br /> — —__I_ <br /> ---_—__'—. —_ '_ _—'— __I__J�_— ___ — <br /> I I I I <br /> � ou <br /> DATE INSTALLED: ��z� — � � I � pFF SUB TOTAL <br /> CO�E I LA'iOR AND EOl11PMEN f RENTAL � HOUqS RATE <br /> I <br /> ---- --- - - --5=-��--' 1 H_�. <br /> , - <br /> -- `.�.u.,,� i � „ <br /> � �zd�'f� I I ,� -- -- <br /> - _�_gQ:� �/ - -� - - <br /> ; <br /> - - ------- <br /> � i <br /> --_ ---------- <br /> -�-- - - --- ; - <br /> ----- - - -- --- <br /> - � <br /> rorn� <br /> REMP�NS: <br /> .:� <br />