Laserfiche WebLink
No��• ��, ��� � CITY OF EVERETT SERVICE � <br /> APPLICATION FOR WATER SERVICE oRoen r�- 5 � <br /> � FIXED � DATE�V�.�� 1 <br /> ' /J�-�� / <br /> �DEr051T s OV/J(/ No�� --- <br /> . .,,;� —��'_�_ <br /> SERVICE ��r woo�u�� �1 �1 <br /> (�- C�C���[�—BLK._ LOT�AOD._ <br /> OWNE � _�� vN�C��� CONTRACTOR�J�h7� -- <br /> T <br /> INBTAL NIETEREC SERV(CE—.- --- -- -- <br /> I HENEBY APPLY '� )R THE USE OF W�TER IN ACCOflDANCE WITH THE - <br /> ORDINANCES AND POLICIES OF TME WATER DEPARTMENT NOW E%ISTING _p�� <br /> OR AS S�ME MAY BE HEREIIFTER CH�NGED. elcNeo: X �,. - - -- ------ <br /> MATENIALB � IN. 1 IN. 2 IN. , PRICE ' AMOUNT <br /> �IPE L/�C/_ L _ I„c ___ I _�� <br /> .•- f <br /> CORrORATION S — I i_I_I� I <br /> CURBCOCK dC'� ��I"� 33W __ -- - — <br /> SERVIGE BOX PLASTIC •- C I___ I _ _. <br /> METER VALVE _ --- ----- -- <br /> '—--_.. -._ ..—_.- - .. <br /> — _ -- __- _ <br /> —METER No. ��� 7YPE: _I_`S __ __ __ _ � .. __ <br /> METEq gpX� _ J� I_— _ — <br /> �- - __— <br /> C�i Af/�����_ I �I-- <br /> , �D6�� /,�Ji�_-�/i� �- -�- --- _ <br /> 7 .� ��-�- �-�- -- <br /> /� - -� -I �-- - - <br /> I� � � I <br /> , I DA7E INSTALLED: Q,r Op` 8� I � OFF � SUB TOTAL <br /> CODE I LA60q ANDEOUIPM6NIRENTAI NOUPS P�TE <br /> i -��-��-�i-3'-� <br /> � �— -- �. �����!� --- – <br /> � � a��9is --- - <br /> -���, ---- ��c,�S _— — <br /> � il_`" -- -- -_ --�--- - - <br /> -�-�-�' - - -- - - ----- ii - <br /> � <br /> — TOTAL <br /> REMARXS: _____ ___--__------�- <br />