Laserfiche WebLink
APP�, r �T`r � ApPLICATION FOR SERVICE o <br /> No. SERVICEv� '� 72 <br /> � 9� g�, CITY QF EVERETT WATER DEPT. oROErx <br /> � FIXED <br /> � DEP081T s �Q d ro DATE—�Su—I 4 f B�� <br /> L <br /> —3.� ,3.:., � Noo. <br /> SEkVICE �er�nonp��� �- ��y �� � <br /> OWNER_n DG L f v f �LK. L(„_��_ADO._______._ <br /> �F y ---_CONTRACTO!f__. <br /> IN3TAL�j1�_METCRED gERViCE_____ --�— <br /> � HERElY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � <br /> ORDINAHCES AND POLICIES OF THE WATER DEPARTMENi NOW EXISTING <br /> OR AS S�ME MAY BE HEREAFTER CH�NGED. _ ��/J <br /> eicNEo: X___ _ irj <br /> MATERIALe ,W IN. 1 IN. 2 IN. --�� �— -- <br /> P�PE �OPPER • GALV.-•STEEL _ // I � rt E AMOUNT <br /> CORPORATION —" S�--r - .5�_I 31/? <br /> CURB cOCK pT 3 �� <br /> SERVICE BOX _ pLASTIC -• C I I �� <br /> METER VALVE —� �_ <br /> � <br /> —_���n1E7ER No --- 3�I9�7� . <br /> 9��f_G_ TYPE: I � _._ ___ __-- — �J✓I/i�7 <br /> METER BOX CON�:RE7E -- - — <br /> �— MAL LARGE ,� -- — �, — <br /> -- I � <br /> �I,� — — �� <br /> — � — I — <br /> _' __�— _' _ _ _. <br /> I I I � <br /> DATE INSTALLED: ❑ �N <br /> – 7_. 5�� -� /�i � <br /> CODE � — � JFF // � . I� SUB TOT� //� 3 <br /> LABOP AND EOUIPI�ENT F(NTAL `r <br /> I / �l�L� ! • HOUR6 qATE <br /> � �—.� —S `�� —y I�' S " <br /> ---L7 II ' <br /> hb:L� I p il � . <br /> � --_—_I J I � `'r <br /> I--i------- ---- - —�— ---- ----'I _ �i — <br /> –���— – --- _ -`�—�--I��- �`.S------- �--� p--,--- <br /> :�I�n <br /> _— � --.—�_ <br /> R�.'�"ARKS: TOTAL II /�I��j <br />