Laserfiche WebLink
i <br /> APPL. n C�/ Q CITY OF EVERETT SERVICE � ,� ._ �.� <br /> No. pC �� 4`V ORDER NO. �r �� <br /> APPUCATION FOR WATER SERVICE ����— CL <br /> � FIXED DATE_ �B9V <br /> . �DEP091T �� � (,) v o� — <br /> SERVICE (oY ADDREli)1G'J�' I —�L �e �"=��+=�BLK._ LOTJ�� AOD_v"^�� ^' ` � <br /> OWNE���J�L_I """CS —__CONTRACTOR_�_/L��O�7�P.I_ <br /> �� -��,/ FLAT <br /> INSTAL METERED SfiRVICE------ - - <br /> I HEREBI' APPLY FOR THE USE OF WATER IN ACCONDANCE WITH THE � � / <br /> ORDINANCES AND POLIGES OF THE WATER DEPARTMENT NOW ElISTING .' ° / � <br /> OR AS SAME M�Y BE HERE�FTEH CHANGED. etcHe . �.c�- _ - `-'l-- - � � <br /> •3 '*7 <br /> M�TENIALS 1GIN.' IIN. ' iH. I � PRICE �MOUNT �y � <br /> � � N <br /> �IPE COPPER-- GAIV.•_STEEL _ _ _ _I_ � _ p <br /> CORPORATION I _I_�. _ ____�I_. <br /> m � <br /> CURB COCK OT _i I_ __J _ � {,� <br /> l <br /> SERVICE BOX PLASTIC -- C I __ ___, � a <br /> rr <br /> METER VALVE _---- Z <br /> METER No. TVPE: __I K -- y <br /> _'—' ' —_—_ _ -- — _ _ H � <br /> METER BOX CONCRETE SMALI LARGE _ "�'� N <br /> —_I _�If_- <br /> O <br /> —_ _-___— — I I � � <br /> —_ — __I __� — � M <br /> —_ N <br /> ——I — —_ � <br /> — —._--"_ . .___ _II �_—I__ _ � �1 <br /> DATE INSTALt_ED� ;�2 j-�sJ�--- I OFF SUB TOTAL • � <br /> U O ���yyy <br /> CODE ' LABOR ANO EOV�PA�ENfRENTAL HOUR9 R�TE � <br /> I � �C��i���( �''i�_--_— __ <br /> � o-I �-- - � <br /> --I____��-�- - _ __ _ i- -- - - � <br /> --�- - � -- -- � <br /> -, - - --- �--- <br /> TOTAL <br /> REMARKS: ____ _ _._._ <br /> � <br />