Laserfiche WebLink
APP� %��� APPLICATION FOR SERVICE SERVICE � <br /> No. �I _�O (j OROER �� L3Ic <br /> CITY OF EVERETT WATER DEPT. <br /> ' �-fIXED DATE_� � / % �.. <br /> �: y-i-��-L— s - <br /> � oerosir S ;' `� "� <br /> ����. W.O. <br /> No.___ <br /> SERVICE �or nooREeel-W_Cy4- l�_�L��L' �I D'��._�/� . BLK. LOT� c�_�po � ��w 211�C��. <br /> OWNER-�GfaL�l_P �'��fJl_!Ly_('�C=L> __CONTRACTOR <br /> �� l FLAT'� ___.-'_--_.--__- _ . <br /> � INSTALL��I�7�T' SETERED SERVICE_-_____._.__ <br /> ':� I HEREBY APPLy ppp 7NE OSE OF WATER IN ACCORDANCE WITH THE \�-_�'���_--- --�- - <br /> � ORDINANCES AND POLICIES OF THE WATER DEPAFTMENT NOW E%ISTING <br /> ' OR AS SAME MAY BE IIEREAFTER CHANGED. slGNeo: A- ��`- <br /> � -�_— __ _- . <br /> � IAATERIALS 1 �� IH. I IN. ' L IN. <br /> , I� i �L�I � PpICE AMOONT <br /> _PIPE ____ COPPER.-GALV.--STEEL ����: � -}j- I I � I -' <br /> CORPORATION -- ---- — --I ----I�-- �"'I -- ' <br /> -�_� -___ __ ' r � _� _J__' <br /> � ICJFB COCK --OT __.__-___ .'_-_-__ I I . --� -_ _ <br /> SERVICE BOX PLASTIC - C I ��7-�,�{} -_ � I I <br /> l- <br /> IdETER VALVE ' - --- <br /> � MEIER No. '.—__�_ TYPE: I A 'I'- _--', . _ - __ <br /> � METER BOX CONCRETE SMALL LARGE I <br /> �—.�^ _ �ii _ _ _ . __ _ . _--- _ - - -_'_- - " <br /> �-----�—=�- �.;�� s;�,� - ---j-L_—I i <br /> L ---- — -- - -- ' - i — --- - <br /> ' �--i— — <br /> ; _ � <br /> -- - <br /> ►— ---- -- � -; �—i--- — -- -- <br /> , ---- —i i,—; — - - --- <br /> � �N � <br /> � DATE INSTALLED: � � �-7 / I <br /> y-.� , <<. � OFF SU� TOTAL <br /> C�� LABOR ANO EOUIPMENt pCNT',L -' <br /> HOUR" R4T[ <br /> �--I----- ---- —— — ���� --�� <br /> � -- - , ����— 11r� — - <br /> �� � � � <br /> --�— — <br /> � —L- G .�-- -�: l/_ — —�'-�� <br /> � -- —�j, -- C�sc' _ Jfi�c r, j{cE I�- - --- --- - <br /> �--� ---- — - — — _ _ I - - — — - <br /> I ------ - — - _ — ------�---- — - -- <br /> I— � � — <br /> I <br /> TOTAL <br /> � REMARKS: - <br />