Laserfiche WebLink
,�P�,+2�4���� ppDLICA710N FOR SERVICE SERVICE N� �Z23 <br />Np ORDER <br />CITY OF EVERETT WATER DEPT. <br />; �FIXED DATE- �/�--19�� <br />� <br />��, � DEPO3IT S �� No�_ _--'__' ___.'_ <br />i SERVICE(BYAODREe6) ��L�Y �-�-,"L�"�� �v`' BIK. ` .LOT_�I�ADD���E��� <br />� OWNER��-��+�-5-�,� ��� CONTRACTOR --- - �- <br />i ` A � ___ � <br />I INSTALL�—�O SERVICF - - -- <br />I I HEREBY APPLY FOR fHE USE OF WATER I'1 ALCORDANCE WITH THE .� <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EX�STING /��L, ,� '�� <br />� OR AS SAME MAY BE HEREAFTER CHANGED. eicNEa:X._ __— - - - —_— <br />� MATERIALS �H ItL 1 IN. I 3 IN. �� � PRICE � MOUNT <br />I PIPE _,COPPER -GALV.--STEEL__ �C ��___II _I_ __� _ <br />I�- -C—ORPOR�—ATION <br />� CURB� COCK OT [ ___ � -I —_'_I= —'_ — <br />I SERVICE BOX� PLASTIC -• C I/ C(_ � 1 I I _. <br />� METER VAWE __ _ _�___. __ __ _ __ _ <br />METER No. TVPE: I `f <br />METER BOX CONCRC�E� SMALL LARGE —� _ _I_ _ � <br />'-- _.- . __—I i -II I_ ��I__ � — <br />� <br />I L�ON <br />� DATE INSTALLED: ��1. �._ j'`� � OFF SUB TOTAL <br />C pg � sABOR AND EpUIPMENT NENTAL _I HOUFS RAT6 <br />I�I —I__._ _ <br />_____._ _ . __— _ _ _-. — <br />� �:- � - -II �- -- <br />� � �� -� - -- -- - <br />, — — � � =- i s <br />, - � ___ - ����� - - - <br />�--'- �' � '� � i� _ I s�— --- — — <br />1 - <br />� - - ---�_3�,�:� i,z <br />--- <br />-- - <br />-- -- ------ - <br />�_ � <br />I TOTAL <br />I REMAf2K5: _;� , � .� :. � ' �. <br />� � �7 f ' _ . . . . . . <br />S�"— ___ _ - _ -__-_ __.__ _ _ _' _ ._- _' _ -'.-_' . _— <br />. ._-_ � ' �,� __. <br />