Laserfiche WebLink
qpp�„ 1���8 APPLICATION FOR SERVICE SERVICE N? 4 9 2 <br /> No. ORDER <br /> �9�c� � CITY OF EVERETT WATER DEPT. DATE �S ��P��—_�D��l <br /> Fixeo <br /> � �- ad -� .5 /niPc �/ -.�ra <br /> ) w.o. <br /> �DEP031T s ( � �'- - No <br /> SERVICE (�YAOOnetel�T /� �EX /��-_ R/` BLK. LOT—_ADD. -- <br /> � � IPT' 1i Bs�' I`f2- <br /> OWNER CONTRACTOR �IN�-a. L.t,-j'{,�/ ____� . . . <br /> �,/ �� �,_ �����cr. � <br /> INSTALL.C{�—METERED SERVICG .— --- <br /> 1 �1ENEBY APPLY FOR THE USE OF WA7ER IN ACCORDIINCE WITH THE ' <br /> OR�INANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING s�cr+co:X� �' u'� '�-�'�r�F.nD � . �l __ <br /> OR AS SAME M'Y BE HERE�f7ER CHANGED. <br /> MATERIALS 141N. I IN. I 11N. I � PRICE AMOUNT <br /> PIPE CUPPER'-•GAW.-•STEEL ��I—� .�9 ��`/� <br /> CORPORATION � I — �I 4S(�� <br /> GURB COCK OT I � <br /> SERVICE BO% PLASTIC -- C I I � l, <br /> METER VAWE � _ _ II H�I� 7J <br /> � I -�' 3 � <br /> _ METER No./���'1" �_�I r.�� T:'PE:ir�a � 5�� — — __�� <br /> METER BOX `CONCRETE• �SMAI.L LARGE I I�� <br /> � _-- <br /> __J <br /> I I I <br /> I I <br /> _ I __ <br /> _ __I __ _— <br /> I I <br /> � ON <br /> DATE INSTALLED:-� L/ -u, X �-0FF � , �', SUB TOTAL J/ <br /> � if <br /> COO6 LABORANDEQUIPMENTRFNT�L HOUF! R�TE <br /> � � �J � � <br /> �� � � <br /> � , -��J 3 I;v <br /> I � <br /> I ?-��, „ .�„ -_ �- --� I <br /> � <br /> -- ----- - -- � � <br /> � <br /> � -- -----�-> ,� � '' I S� <br /> -�= --- - - -- -- ='-I` �. <br /> — I I TOTAL I 9/I �`- .. � _°'� <br /> _—_ �7 � <br /> REMARKS: ---�� <br /> _��y-_-7°°' _ — ---- - ------��-- ' <br />