Laserfiche WebLink
r - _' _ _ ' � . . s _ . _'___� . ._. . _ '_ <br /> N�P`� 29y25 CITY OF EVERETT OFOERL N° � a 8 � <br /> APPLICATION FOR WATER SERVICE /� � �'J <br /> dFIXED •E � �i/�1� � I�,i�r C. 27�Ci /U /�� DATE�`J.��IB— <br /> � DEPOSIT � � v--�--�–__ W. O. — <br /> SERVICE (ev�oo ce)�L — �� /� BLK.___—LO�ADDr1.LSd�V�/Sdi�r � <br /> OWNE � CONTRACTOR __ _ <br /> �FL <br /> INSTAL � ��,_ - VICE-- --- --- <br /> I HEREBY APPLY FOR 7NE I15E OF W�TER IN ACCOFDANCE WITH 7HE <br /> OpDINANCES AND POLICIES OF THE WATER �EP4RTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. BlcHeo: _.._-_._ _.._ .__-___ .. - <br /> MATERIALS �/ IN. 1 IN. 21N. - I Pfll� AMOUNT <br /> PIPE COPPER -- GALV. -- STEEL I �l_ <br /> CORPORATION - — --- - r---�I _ _� . <br /> CURB COCK OT i I �I <br /> SERVICE BOX PLAS7IC -• C I I —�—I <br /> METER VAWE ____, __ __ ____ � __. __ <br /> // -rT-__.. _ — � _ _ _ <br /> - _ — - <br /> METERNo. /1�_ . . . _TYPE__��/7G'�F_'_ .I�-_" I '_I <br /> METER BOX CONCRETE SMALL LARGE I _ _ _� _ <br /> -_ _- __ __I __� . _ — <br /> '____ �-_._— —_ <br /> — I— �1_!— — _ <br /> � � i <br /> --__ __ _—I' _ _ _ — <br /> i � I <br /> � I I I � <br /> -'_ ��, <br /> DATE INSTALLED: �-`�- � j I � OFF SUB TOTAL <br /> COOE ' LABOR AND EOUIPMENfRENT / I HOURS RATE <br /> ��!�Ol�� — -- -- ---- <br /> � i <br /> I <br /> NO ACTION � <br /> --- --WW De taken on ser.���•;: � <br /> --- --- — 8pp�cations H�iN,o�i� , � — — <br /> I — SacMlow-PreventiorrC.T-T-t`:u;I <br /> ii <br /> TOTAL I <br /> REMARKS: � <br />■�� ' �r�-�. u_:r_:� , .. . _ � .. . .��54 . . .. ._� aim��:..�s�r�-y'"'id+�1� <br />