Laserfiche WebLink
1 <br /> / 1 <br /> n�ioP � ��� CITY OF EVERETT SERVICE : �' <br /> ORQER �O. .`` .% .�.; � <br /> APPLICATION FOR WATER SERVICE � � ��/ <br /> � FI%ED 0 DAT����1B1�L <br /> 0 <br /> � DEPO8IT � W.O. <br /> No._ __ <br /> 6� ^� � <br /> JERVICE (BYAODRFB/) � �"3''" ��' - �BLK._ LOT 2 ADOG��� Y` y ? <br /> L� „ <br /> ON�NER � A��=i '�L � -�lzc�r� -/"> - CONTRACTOR <br /> // L " <br /> INSTALL�C__METERED SERVICE_. _ <br /> 1 HEREBY APPLY FOR THE t'SE OF WATER IN ACCORDANCE WI7H THE <br /> ONDINANCES AND POLICIES OF THE WATEN DEPARTMLNT NOW EXISTING � � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. e�cNeo: X - <br /> MATERIALS Si1N, i1N. � 21N. � � PpICE AMOUNT <br /> P�PE COPPER- GALV.-- S7EEL _ I � <br /> —_ I <br /> GORPORATION <br /> CURB COCK OT_ _ __� I �_ � <br /> SERVICE BOX PLAS7IC •• C I <br /> I I <br /> METER VALVE <br /> METER No. TYPE: I s5 � <br /> —._. —.__ .—I—_ I_-- _ <br /> METER BOX CONCRETE _ SMALL LARGE � _I__ <br /> I _�II_ <br /> .—_ I I �.J— — ' <br /> � <br /> —_'_ —_I _ <br /> — _ ——_I — <br /> - i I I �- <br /> _ / // � ON <br /> DATE INSTALLED: '�/�j j9 � OFF SUB TOTAL <br /> Jj ( <br /> COD! � � LABOq ANO EOUIPMENTNENTAL � HOURB P�TE <br /> —I � _ _S—.f—_ I C <br /> � - �- � � <br /> -� -- -- -- f--, ��� �` �-� -- - <br /> -� - ----�����-�1 � - - <br /> � � J- <br /> -� - -_ -----� <br /> I - <br /> TOTAL <br /> REMARKS: <br /> _ ., — . __—_ ___—_—__- _ <br /> r- <br /> �. . <br />