Laserfiche WebLink
APPL. /� ��/ APPLICATION FOR SERVICE SERVICE No ]2 ] <br /> No. � � -' ORDER <br /> ����� CITY OF EVERETT WATER DEPT. � ..�_�_ — ,��; <br /> FIXEO DATE_�` — /J�g!'.'_ <br /> ,/- � ``=`' <br /> � DEPO5IT s � ��. W.O, <br /> p No. <br /> a J / .� 1L�'/ �� p <br /> �SERVICE (BY ADDqE88).—,�'��� �./�i/'YL«�/ �V/i ' �� � �.t.!!;�� <br /> �""�' ELK. , LOT�y'��LAD ��z"� /� <br /> OWNER_z CONTRACTOR��- �'l`���z�� <br /> Q/� '� FLAT r` - �- <br /> INSTAL�`" - METERED SERVICt <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE \\ ,�1 �li ' ,� �— — <br /> ORDINANCES AND POLICIES OF THE WATER �EPARTMENT NOW EXISTING / i1.L� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicN[o: X—�L ,/�� <br /> MqTERIAlS �' IN. 1 IN. I 21N. 'I I PRICE AMOUNT <br /> PIPE COPPER-- GALV.•-STEEL _ � _ I <br /> CORPORATION I <br /> CURB COCK OT _ � I —�I <br /> _ I i—I <br /> 5'ERVICE BOX PLASTIC •• C I <br /> ME.TER VALVE � <br /> ME1'ER No. TYPE: I sg -- -- <br /> ME7'ER BUY. CONCRETE SMALL LARGE � <br /> —_ —� ���------I� <br /> I _ _ _�I I <br /> I — I ' <br /> _I I <br /> I <br /> 1 �I I I I <br /> � : � ON <br /> OATE INSTALLEO: �. �' �_ ,_ �. . � OFF SUB TOTAL <br /> COOE I LABOR ANO EOUIPMCNT PENSAL I HOUR6 qATE � <br /> � I _ __"-_-_-___- - � I <br /> -I I _ <br /> � � <br /> I �I � <br /> - � --- --- -- � II i -- <br /> - - - --- -- � �I_ I <br /> --I -- -- - I --��---I-- <br /> � I ��� TOTAL� I <br /> aEMARKs: 3erviCe instnlled b;� 3uilder <br /> --- — _ - _ __- ___ - ----- <br /> - /J �,�.�. <br />