Laserfiche WebLink
i <br /> APPL. , SERVIGE ' 'l '-: R <br /> No. /��dy5 ' CITY OF EVERETT ORDER NO. �; i. L- ±_ <br /> APPLICATION FOR WATER SERVICE <br /> � <br /> �FIXED DATE ��� � —1� <br /> _ � DEPO3IT s �QO- �� N�___ <br /> �J �� �i /`+iL+�'7 <br /> SERVICE (evACDrteee��� IDU%�,U,Q l�L. S -G BLK._ LOT ADD.��-� <br /> OWNE V�-� ���-� • ����� GONTRACTOR __ <br /> // —___�,J,1 / <br /> INSTAL METERED SERV E' � <br /> 1 HEREBY APPLY FOR OF WA7ER IN ACCORDANCE WI7H THE / <br /> ORDINANCES AND POLICIES OF THE WATER DI:PARTMENT NOW E%ISTING � � � <br /> OR AS SAME MAY BE HEREAF'fER CHANGED, eic o: X._� _ __— — <br />� M�TERIALS �' IN. 1 IN:� 2 IN. i � .�: PPICE AMOUNT <br /> PIPE COPPER-- GALV._STEEL _ � <br />� CORPORATION <br />� CURB COCK OT I <br /> SERVICE BOX PLASTIC -- C I I <br /> METER VALVE <br /> METER No. �� TYPE: _ I SS _ __ <br /> METER BOX CONCRETE SMALL LARGE <br /> —_�— -- <br /> I <br /> _ '_I �_ <br /> _ ��_ _ <br /> __I �� <br /> II ( oN � ��� <br /> DATE INSTALLED: '�iGt'..�� I OFF SUB TOTAL <br /> CODE ' LABOR AND EOUIPMENfRENTAL HOURS R�TE <br /> � 1�_i �, v�_ �� , <br /> i CayR�a�i oR �� � _ <br /> � J� —I— --- <br /> ; --�'�(L��� � - - - <br /> i __ _ � _ <br /> TOTAL <br /> REMARKS: <br />