Laserfiche WebLink
� <br />APPL. � /' Jy/ <br />No. l0/ () <br />� /FI%ED <br />(Q/DEPOSIT � <br />8 RVICEf�r�Oonup /�- <br />� <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />� <br />INSTALL� 7` � METERED SERVICE <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES ANO POLICIES OF THE WATER DEPARTMEN7 NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. sI�NEo:� <br />MATERIAL6 � IN. 1 IN. � 2 IN. <br />P�PE COPPER -- GALV. -- STEEL �I <br />CORPORATION <br />CURB COCK <br />SERVICE 90X <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -- C I <br />CONCRETE <br />DATEINSTALLED: <br />COOE � <br />REMARKS: <br />TYPE: I K, <br />SMALL LARGE <br />� ON <br />� � �'J- OFF <br />LABOP AND lOUIPMEN(RENTAL <br />II <br />SERVICE �7 <br />i')RDER iVO.. �I �:.� �} �} <br />DATE C�_i' �f� <br />W. O. <br />PNiCE j� AMOUNT <br />SUB TOTAL <br />HOUPS � pATE <br />TOTAL <br />