Laserfiche WebLink
APPL. �2��q <br />No. � <br />� FIXED O� <br />� DEPOSIT f � ! <br />' ' go a <br />SERVICE (BY AOD//NE98) /� <br />OWNERs.l�-�� c�� <br />r ' <br />CITY OF EVERETT <br />APPUCATION FOR WATER SENVICE <br />�� <br />SERVICE - .: � � <br />ORDCR NO. � � � � <br />DAT !�-=��19'" 3 <br />W. o. � <br />Na— — <br />p � 8' (y3j .��! ^ <br />� �� FLA � <br />INSTAL � ETERE� SERVICE — - - �7 <br />1 HERE9Y APPLY FOR THE USE OF WATER IN ACCOR�ANCE WITH THE //!' //�{�� <br />OPDINANCES AND POLICIES OF TME WATER DEPARTMENT NOW ElISiING sicN[o: X. (-!1� --✓ �------ <br />OF AS SAME MAY BE HEFEAFTER CHANGED. -� - <br />MATENIALS I�� ���' I'�N' �'� 2 �F�' I ��I PAICE AMOUNT <br />PIPE <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />McTER VALVE <br />METER No. <br />METER BOX <br />COPPER -- GALV. -� STEEL <br />OT �—' <br />PLI A57� .. C I .— <br />�} � I ._-___7YPE: _ ____ <br />CONCRETE SMALL <br />DATEINSTALIED: <br />COOE <br />REMARKS: <br />�5 <br />LARGE <br />�O N <br />OFF SUB TOTAL <br />$-�-�� ❑ <br />LAOOH AND EOUIPMLt�f RENTAL <br />HOURS HATC <br />y/ <br />.,_ _!-% �ar— -- <br />� ---- - --3-�, � , ,_ 1�- -- <br />-- - , <br />_. `�-�:., �-- --- <br />--�g'93�/3----- ':�-�,���=i-, - - <br />-=---I- <br />TOTAL <br />V: � <br />G� <br />C = <br />.� r <br />C`i : <br />� . <br />.a • <br />Y'� : <br />