Laserfiche WebLink
APPL.��/a U CITY OF EVERETT � ORDERE n,o. 4863 � <br /> No. / <br /> APP�ICATION FOR WATER SERVICE <br /> � FIXlD Oo DATE�A ��' _1� <br /> � DEr061T s�OO � p0. <br /> �y;.,-, � _ <br /> o a a �,�-� , ° �p / <br /> SERVICE (�r�Do�un� _ BLK�?LLO�f`��� •m��• <br /> n <br /> QWNEI . CONTRACTOR <br /> / �i <br /> INB1�.: _ ET ED SERVICE. <br /> " I HEREBI APPLY F R THE USE OF WATER IN ACCORDANCE W!TH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%IS11NG ?y'� �S_ C� <br /> OR AS [AME MAY BE HEREAFTER CNANGED. eicNeo: X . <br /> NTERIALB —_ �' IN. I IN. � 2 1 � RICE AMOUNT I <br /> PIPE � � Q� �L COPPFR--GALV.-•STEEL �6 <br /> CORPOR <br /> CURB COCK OT � Ii <br /> SERVICE BOX� PLASTIC -- C I I <br /> METER VAWE _� ____ �� <br /> METER No. ��f �7 TYPE:(J 5S � <br /> -- -��t�o�-- � ---- <br /> METER BOX CONCRETE � L( � MAL LARGE � <br /> - � � -- —� �---�--- , <br /> o,�....4.� � �-' �— <br /> �_k� - ? f i_ -- <br /> , — <br /> ti,��^ � ' r ——�— -- <br /> � <br /> , � I ��I <br /> � ON <br /> DATE INSTALLED: I � OFF SUB TOTAL <br /> CODE I LABOR ANO EQUIPMEN'fRENTAL HOURB pATE <br /> � -��_"�+__ � _ <br /> � f ( 5.. ��iYi - <br /> I— _%���7�' ..st I� — <br /> I i <br /> i <br /> I I <br /> TOTAL <br /> REMARK3: SE.PVIC� L���F_S �FF G1-G�E1�1'Ya _ <br />