Laserfiche WebLink
. � " � "" " .- Y.. a .. .:..r ..n.. . �. _ . . / �l - � <br /> � <br /> � <br /> J <br /> I <br /> APPL. I " ' I � ' <br /> No. r�7� � APPLICATION FOR SERVICE SERVICE No 4 � Q <br /> CITY OF EVERETT YlATER DEPS`, �RDER <br /> � FIXEG cn DATF ��6�N- '� _�B/ Q <br /> � DEPOSIT S I,2, ^ � v'�- <br /> �_ W.O. <br /> No. <br /> SERVICE �ev�oonpe�� I ��f- � �-- �'�,, S �' <br /> BLK. LOT_�7 aDp.__ <br /> OWNEw�_.____ , , <br /> � „ ,�, - GONTRACTOR lU�l�l.4v� G- /�(O n�.t_ <br /> INSTALI`�METEREb gERVIC�_,_ �20 0 (,'..o i}( ��, L,� N C <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORUANCc WITH THE ' <br /> ORDINANCES AND POLICIlS OF THE WATER DEPARTMENT NOW E%IST�VG q n <br /> �R AQ SAME MAY BE NER�AFTER CHANGEO. N (� /,' � � <br /> ' , 91GNEo: X.___}�.�^-M-dw� Y1^�//� _�.�O <br /> MATERIALD —`I V u - _ � <br /> �'i IN. 1 IN. II IN. �� PRICE � AMOUNT <br /> P�PE _ COPpER-GALV.-STEEL �� � <br /> �—_ ��I� � <br /> CORPORATION ! <br /> CURB COCK OT I � J � <br /> ----I �i <br /> SERVICE BOX PLA571C •- C 1 i — <br /> -----____. �` <br /> METER VAI,VE ������III {� <br /> ; METER No...�. . - �; � — � <br /> ��I >6 ..3 �3 <br /> METER BOX CONCRETE SMALL LARGE � � �---' <br /> 'J'�i�1�.' ;-,�:.; ' r;�� , -y ,- % � - -�-, <br /> Meter / 49 » _�zoo�/�.i � ��.j%5 <br /> _ - _ --� I C�-. <br /> -- - � � - <br /> � - - <br /> � - - -- � <br /> � <br /> � DATEINSTALLED: G �N <br /> — 'y ` / - �e ;{ �FF �.r-�' SUB TOTAL / ) I n <br /> CODE �� li: �C.! <br /> LABOR AND EqU1PMENTqENTAL <br /> HOURB � RATE <br /> I z 5 �s�lF�i ;' �o <br /> � - --- � Z 3 '-" :�li— /I, -� <br /> —� -- �— i� � <br /> I}� y0 -- —� � �i I <br /> -- � _— I - ---i� �, i,, <br /> REMARKS: TOTAL �—�� <br /> (��c ' ----- �" <br /> -- • �_ • -- <br /> �� ---- <br /> °---��--------_ __ _— r-- , <br /> - ----------- -- <br /> -- --- -- - --- -� <br />