Laserfiche WebLink
APF1P /���� APPLICATION FOR SERVICE SERVICEN° 617 <br /> No. ORDE <br /> f%�',1^y� CITY OF EVERETT WATER DEPT. pAT��_2_,�� <br /> ' � FIXED <br /> � DEPOSIT g � 7-•�C� W.O. � <br /> ,'' No. <br /> SERVICE (BY AODREfiS) � - �� - �.G � __g�K, LOT AD�. <br /> OWNER �����_-_E_i�� CONTRACTOR <br /> �T <br /> INSTALL/ tA6Sf.itM SERVICE _ <br /> I HEREBY APPLY FOR iHE USE OF WATER IN ACCORDANCf WITH THE <br /> OR�INANCES AN'J POLICIES OF 7HE WATER DEPARiMENT IJOW EXISTING � <br /> OR AS SAME MPY BE HEREAFTER CHANGED. siGr�Ep: X��C.- .��tc�, <br /> AfATERIALS ?i IN.I � iN• I 2 �N. I i ( PRICE AMOUNT <br /> L�. <br /> �'�PE �COPPER�- GALV.-- STEEL � � rC ��- <br /> � ._� /L''�� <br /> � CORPORATION� _ _ I � � _ II� ,'I I .'�' <br /> � CURD COCK OT > � ✓ <br /> �—'�-- ! i �_ � i' �� �.�_ <br /> SERVICE 60X P 5 C,.. C 1 � I I; �/I��`.•, <br /> 7 L <br /> METER VALVE __ __ — — I — — — � _- <br /> METEP. No. _ 7ypg; I ,,p -� <br /> METER DOX CONCRETE SMALL LARGE _� _ I— — � <br /> �'�'./i i . �_ � _L I I ��— <br /> / �� / I�I r <br /> :� ------� _--�— .� L'�G_- <br /> - �_;- -I-- �_ <br /> - -� � --��- <br /> � ON / <br />' DATE INSTALLED: �/ _. .� �_ / � I OFF \ ,., .( SUB TOTAL ?2 �/ <br /> � - L .� 1 �/ c' t ._ i-t \ �l✓ <br /> COOE I LA90R ANO EOUIPMENT 4ENTAL I MOURS RATE <br />, � �� �,�� 3•�� /5 3g <br /> I �------ � � �— <br /> - - - - �_ �.o ,j` I � o <br /> � � � <br /> `.<<-,�--_--_.a t,,� -> <br /> �---- -- ------------- —� I� !— <br /> --� - � —i: I - <br />, I ------- --- -------------I---- ---�i— �I/ <br />� <br /> I ��/ __ rorn� � J�� F% <br />� REMARI4: <br /> f __. —_-_ ___._ _ . _ ___._. ._ _. _ - <br /> �J, / _ __ —. <br /> I . _- ' __—' ___—_'_—'._.�___ <br />' .�L�_ .L.7 _.�_. . . . ... . .. J , <br />,` <br /> I <br /> �" _ _ . __ ' . _. .. _ <br />�_'_ -." _ ' ,_ _. ._ _ _ ' . . <br />