Laserfiche WebLink
i <br />� <br /> II <br /> � �� <br /> ay <br /> SERVICE p <br /> � H � ' NOP�� CITY OF EVERETT ORDER ��- � Z 4 a <br /> � APPLICATION FOR WATER SERVICE <br /> y � ~ FIXED DATE_ -IB_ <br /> o x a , °❑ DEPOBIT S �� TO POSTI NG 3Ii�-l�z N°� <br /> y � � �i � �� - ��<-17�V� e�tc.._C—�or ���/ noo,� �.l!���GLl�2i_� <br /> x SERVICE isr�oonns>-1 J �-� <br /> � � <br /> H C7 OWNER�' � ��� �� '� � � "L� -�e.�JC�)"li'� CONTRACTOR �-/{�1- <br /> O H =�� j/ F1.A�7'-�� / � y ' <br /> � [�rJ g INSTALL-./�-�METEHED SERVICE�_-_ - _ _— " �� ---1-'-1-- <br /> �V � —Y- <br /> H I HEREBY APPLY FOH THE USE OF WATER IN ACCOflOANCE wITH THF / <br /> �, y � OHDINANCES AND POUCIES CF ;N[ WaTEfl UEP�FTMENi NOW EXISTING �/L�-.,�-�. L�-�'-+ _ ___ <br /> � OR AS S�ME MAY BE HEflEAFtEH CHANGED B�GNEO: % - <br /> H y / MAIERIALS � S'� �N. 1 IN. � 3 IN. � i, � PRICE ' AMOUNT <br /> g N H p�pE y y�J�,���� COPPER•- GALV.•-STEEL•P�� I I �,_ ____ <br /> � d y CORPORATION 3 1a�1� y? I _I_I_ � <br /> i <br /> � � Csl GURB COCK OT I I I _ I <br /> y � y SERVICE BOX PLASTIC -- C I___ _� I_�_ _ ___. <br /> METER VALVE I <br /> - ._- _ _. ____— ..__._ _- — '_. '_ __ . ____ - . __ '- -__'- <br /> � METER No. TVPE: I ,� I <br /> -_ __'__ ' __'__. . _ ._ _-..1 — -"_-__- —_ ._ __ _ <br /> �. METER BO CONCRETE SMALL LARGE <br /> � l' ��'-'--__I-�_I �II—�. __... _'____ <br /> � �� � � � � �=— <br /> ��-� > — _ �'— --- - — <br /> ll �-_'-_ � � i <br /> _' , Dn��_y_`� L__ — -- -- — <br /> �� ��.�ri�,� s� `� �— I�—� ' — <br /> j � '� � ��; ������ � ��� . – ----� —' �� <br /> --- ,, -�,-,-- <br /> ��� _�._�r I JI _ — <br /> � ON <br /> '�� DATE INSTALLED: � //7 �, � / I rYOFF SUB TOTAL <br /> �� yv <br /> � �_� COOE � � LABOR ANO EOUI?MENf RENTAL MOURS R/'.TE <br /> —i q��r o y ---�--- — - - <br /> ��� I ;��.��� CQ_�.y;�st �:�,� , I-- I, <br /> � — ��`,y J� "iy-1 - ',.{�I t�:;n -�— ---- <br /> — � � � —--�'-.•--+r---.— — � <br /> ' - ,:.,., : , <br /> ' ., rli J ____- __. ...___..— _ —_ ' - I <br /> ��1�', II I i <br /> ' -_ � <br /> __ —_____--___--.--- . <br /> �� <br /> TOS'AL <br /> REMARKS: <br />