Laserfiche WebLink
APPL.� � SERVICE - � � <br /> No. � �� CI'fY OF EVERETT ORDEft NO. ' ' <br /> APPLICATION FOR WATER SER4ICE <br /> � ��xeo DATE�-�.�d ie_�7_ <br /> oj <br /> � DEPO8IT S d W.O. <br /> �__- NO.-__----__ <br /> SERVICE l■ '�`ooa[�_f��L��✓�sl�FS-T�s2'����:/�BLK.____ - _.Lo7.�ADH��e � �, - <br /> OWNElCC���S � _-l�s��zy�-7�'��.___CONTR4CTOR'___ --' _ <br /> /� ` <br /> INSTAL METERED SERYICE.�_-__._-_--- .- -- ,/ <br /> 1 HEREBY APPLY FOR 7HE USE OF N' ACCOROANCE WITH THE / / / � �r ' <br /> ONDINANCES AND POUGES OF THE WATER DEPARTMENT NOW E%ISTIHG �/ ��� /���- <br /> OR AS SI.ME MAY BE HEREAF7ER CHANGED. swNr'o: X�f•�a,.. -i -__ <br /> MATERI�Ifi Y� IN.� 1 �p. j 2 IN. _ I PRIC£ AMGU� <br /> � I <br /> PIPE COPPER•- GALV.-- STEEL �_ i � <br /> CORPORATION —'--- _'___-_ '—I-- I I —�'�-'�' — <br /> CURB COCK OT I —� <br /> SERVICE BOX ''LASTIG -- C I I <br /> METER vALVE <br /> M�TER No. -__—-�'_ - 1YPE: � —___�_-� I s`=-= __ - -_ <br /> METER BO% CONCI2ETE SMALL LARGE <br /> -----__ _-' _ --1 I_ - - <br /> - �' P 2-- ---� / I -�- -- - <br /> - --- -- ---� �-�- - <br /> � <br /> ---- - - --� --�--{- __ - <br /> i �- � i � -- <br /> DATE INSTALLED: �(� ��h�`�r I �Fp SUB TOTAL <br /> / <br /> COOE 'I �� �.�� ��� L�BOR �NO EQUIPMENf REHTAL I HOURS R�TE � <br /> -I _--_ -_-_"__. '__ ._ ____. _- _ �^� y.��� -III-�� _-- --__ <br /> I �5 � Y/ ��'G?`t-_I._�- -_____ - <br /> =i --- —�0 U l��-.��-�-��-�----�- l — <br /> � I— — -- <br /> ---- - I - - <br /> _-- -- - - -------- - -- — <br /> ---�----- - - - - --- <br /> i � <br /> — � -- - - <br /> TOTAL <br /> REMARKS: �-(j �s��� G. Vl� or � �_ _ .li .- �h' _ _ �/`-T��✓—_-__.. _ .__._. __ . _ <br /> — i <br />