Laserfiche WebLink
No�'�-• / 9��� .�PPL.ICATION FOR SERVICE SERVICE � 2 J 6 <br />ORDER <br />�9.�G � CIYY OF EVERETT WATER DEPT. <br />� �� <br />� fi1XED �A �� 1 .� <br />r� DEPOSIT S//[/qi� W. O. <br />No. <br />SERVICE (BYADDiE88)—�('�-'7/ -__�/ ���V • - �/BLK.--�— L/017 /�� D.__ <br />OWNER _ . CONTRACTOF2�"�"!�-� �-"��-� <br />� FLAT <br />INSTALL /� Mi�S;Ar.i1 SERVICF -_ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �' <br />ORDINANCES AND POLICIES OF TH�. WATER DEPAIiTAfENT NOW EXISTING - <br />OR AS SAME MAY BE HEREAFTER c7HANGED. 6�cneo: X� � ��' � � �- '�C -� ___ <br />IdATER1115 �/�IN.Ij'�11N.I j�' I�^—' PRICE AMOUNT <br />PIPE COPPER -- GALV. -- STECL �I I�� I I I I <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX `PLASTIC •. C I <br />�1ETER VAWE <br />METER No. TYPE: I .5{ <br />METER BOX COMCRETE SMALL LARGE <br />� ON <br />DATE INSTALLED: Q _ -r,��J , (�-�"7 �OFF <br />! / / <br />CODE I LA90p AND EQUIPMENTRENTAL <br />I <br />I <br />I <br />__—_ t� `/ <br />� r. ,•I � �i i� �.. <br />_ <br />� � ! : 1 �. (. i'' ]) . <br />I <br />REAIARXS: <br />i�/ li �� , �.� SUB TOTAL <br />F i <br />� HOUFS � RATE <br />i <br />L <br />�' �,';'� :���i � C � 7 i <br />--�Ir `I ' G I <br />1C I _�-llnU <br />�� <br />i <br />TOT— AI_ , . ��%� <br />% / <br />