Laserfiche WebLink
1' <br /> �` <br /> I , <br /> r -� <br /> APPL� � 3 %-`-� CITY OF EVERETT SERVICE <br /> No. �� ORDER NO. � . . . . <br /> AFPLICATION FOR �VATER SERVICE p � <br /> � FI%ED � OAT6G��l-<='__L--'__IBit�. <br /> / O� <br /> � DEPO_IT s _/� _ N�_ - <br /> C:/ <br /> -� �7 � / / � <br /> SERVICE��oog ��'� L�'.Li�_ / �L�� �`C�_-.BLK.-_LOTµ�Q nD�'c�-r-� � <br /> OWNER�y�-. i��"J_ _ _?ti-�_ CONTRACTOR- ____ _ ____ _ <br /> n��i� <br /> INSTALL-3�.METERED SERVICL _-_. _._- -_ ___ _ _ ___ _______._ _ <br /> �- <br /> ! HERE9Y �i�LY FON THE 115E OF WATEN IN ACCONDANCE WITH TNE � <br /> OR�INANCES AN� POLICIES OF THE WATER DEPARTMENT NOW E%ISTING K <br /> OR AS S�ME MAY 6E I�ENE�FTER CHANGED. ewHEo. . _____—_-_. <br /> MATlHIALS � w IN. 1 IN. I 2 I PPICE •AMOUNT <br /> PIPC _ __ COPPER•_GALV._�STEEL _� � <br /> CORPORATION I <br /> GURB COCK CT I <br /> SERVICE BOX PLASTIC - C I I I I <br /> METER VALVE � <br /> _ '_... _ "_ __ ___ —____ _ .-_. _ .—_ .. __'_ <br /> METER NO. TVPE: �' `e � <br /> - ._'.-_.__—. .. "-__ .. . "_ __" _ —_I._.- ___.__ '— _ <br /> METER BOX CONCRETE SMALL LARGE <br /> ----- -- - -----� _�J _ --- ii - <br /> - I I I <br /> -_-- - �1_=�_�'��-_ _-- _- - <br /> � � <br /> DATE INSTALLED�. � -/�� S./� ; I �� OFF SUB TOTAL <br /> V <br /> CGOE I L�DOR AND EOl11PMENt pCNTAL NOURS R/�TC <br /> ^- --- -- - - - --- - -S,SP�C.-'L-�P - - -- - <br /> � G . C✓u �,+� i i� <br /> - - - _-- �2� 1-��-�- - - - - <br /> � g �/ --�-- - <br /> -; - �7 � - --- <br /> - - _ _ � <br /> - ---i - - -- -- <br /> TOTAL <br /> I� REMARKS: J <br /> � � <br /> � <br /> ..� <br />