Laserfiche WebLink
APPL. Ol / �Cr� . <br />No. oc ��< / <br />� /FIXED � <br />�DEPOSIT � <br />�� SERVICE cerwonncqo)—� <br />� CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />IMSTAL� � � -M�T�4ED SERVI •F --- — <br />I HEREBY APPLY FOR TH� USe. OF W�TER IN ACCORUANCE WI7H THE <br />�RD SASAME MAY BELIHEREAfT:'tH C ANGE D DEPARTMENT NOW EXISTING BIGNED:X <br />"_--AI�TENIALS �' IN.I f 1� <br />p�pg COPPER -- GALV. •• STEEL <br />CORPORATION <br />CURB COCK OT _� <br />SERVICE BOX� PLASTIC -- C � <br />METER VAWE ___ <br />MET:':1: Yo. TYPE: I a5 <br />METER BOX GONCRETE __ SMALL LARGE <br />DATEINSTALLED: <br />COOE I <br />REMARKS: <br />i <br />I 17(' ON <br />�� OFF <br />LA�R� MEN-f RENTA4 <br />II <br />ii <br />SERVICE `� j `� � <br />ORUER NO. � � �/ <br />DATE— ����1rr�-F— <br />W. O. <br />ooW/GCO[✓C�2 C�L' <br />PRICE �� AMOUNT <br />SUB TOTAL <br />HOURS I RATE <br />