Laserfiche WebLink
APP� APPLlCATION FOR SEFVICf �ERVICE j J° �I �� u <br />NO: ORDER <br />����C � CITY OF EVERETT WA'iER DEPT. 3, �3 __7e� <br />DATE <br />�IXED <br />❑ i z � vc, "°� <br />DEPOSIT g � <br />SERVICE (ev noDaess) -� �DI� ��TN � � �� L� BLK. � LOT � ADD.��L��— <br />_ ._ „ . . . _ PA{('./� <br />3 FLAT _ <br />INSTAL��� SERVIGE — <br />I HEREBY AP LY FOR THE 115E OF WATER IN ACCORDANCE WITH 7HE � <br />ORDINANCES AND POLICIES OF THE WA7ER OEPARTMENT NOW EXISTING SIGNED:X ! <br />OR AS SAME MAY BE HEREAFTER CNANGED. <br />MATERIALS ��' � �� N.I 21N, <br />/I I <br />PIPE COPPEPJ-- GALV. -• STEEL �_�_ <br />CORPORAT�ON <br />CURB COCK 07 <br />SERVICE BOX PLASTIC <br />METER VALVE _ <br />METER No. _ <br />METER BOX GONCRETE <br />TYPE: � ifi <br />SMALL LARGE <br />f fG' /�f � ' Gu 25 f � � ,Sv .. <br />.c'_..rl er�SC C'o/"L: e'/'. . <br />i � ON <br />�ATE ItJSTALLED: � (`_ ��� � OFF <br />� <br />GODE I �� �J LABOR AND Eq. IPMENT RENTAL <br />ppICE n AMOIINT <br />. SUB TOTAL <br />HOURS � PATE <br />TOTAL <br />REMARI<5: ---- -- <br />