Laserfiche WebLink
APPI�i �j��6 <br />No. L <br />�FIXED <br />� DEP031T S � 3� <br />SERVICE (er AooR1 <br />CIT'! �F EVERETT ORDERE NO. �� � <br />APPLICATION FOR WAiER SERVICE �/ ��' <br />DATE�:! �_-1Gl_ <br />/ <br />W. O. <br />No._ _ <br />) / ,�L .� �'� <br />�j// _BLK��S.�LO'1�1J_ADD.��� <br />� � � �[� � /�� y�/����� <br />. -C<<9%i�CY?+�a�l4��DNTRACTOR /�'^'".-- <br />INSTAL��_`fit£TERED SERVICE-- - - — " <br />I HEREBY PPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES �ND POLICIES OF THE WATER DEI'ARTMENT NOW E%ISTING <br />OR AS S�ME MAY BE HEREAFTER CHANGED. Bicr+Eo:X � <br />��_ MME�IAL6 w IN. � 1 IN. � 2 IN. <br />PIPE COPPER •- GALV. -- STEEI _ _ � �I <br />�-'t_ <br />CORPORATION <br />URB COGK OT <br />SERVICE BOX PLASTIC _ C I <br />�c <br />METER VALVE <br />METER No. TYPE: I `e <br />'--_-__.. _'_ —____'___._. <br />METER BOX CONCRETE SMALL LARGE <br />_��y-,,�-'Qov6���'—__ _ <br />Y' <br />—�__- ,.T -- ; -- ; - <br />����,t�K. � j'. n�.�� �-. c.- i <br />�� —_�_. ___ —__ <br />— 10 ON <br />Yti� <br />DATE INSTALLED: /� - �Z - �� � OFF <br />COOE I LABOP AND EOUIPMENf RENTAL <br />!i -- , -- - - _---'� <br />--� -�1 �S ---A -�� �.� __. <br />REMARKS: <br />PRICC <br />-i—J--�--= f <br />�— -- <br />� -, y <br />SUB TOTAL. <br />I MOURB NAIE <br />. I3 — <br />-� .3 - - <br />-i `J - - <br />-' - - � <br />� -- <br />� <br />---1 OTAL <br />� <br />11MOYNT <br />�' <br />