Laserfiche WebLink
APPL. g705q <br />No. <br />FIXED <br />D DEPOSIT <br />SERVICE (BY ADDRESS) <br />OWNE <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />v60634 1-- <br />S BLK <br />SERVICE <br />ORDER <br />DATE <br />w. 0. <br />No <br />LOT ADD <br />CONTRACTOR <br />%� FLAT <br />INSTALL c VE"MREDs SERVICE <br />/ <br />I HEREBY APPLY FOR THE USE OF WATER INACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />MATERIALS <br />34 IN. <br />1 IN. I 2 IN. <br />PRICE <br />AMOUNT <br />COPPER -- GALV. -- STEEL <br />CORPORATION <br />1PTFE <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />_____ <br />METER No. 2r/ ?e, TYPE:/ ec,sia,di 56 <br />METER BOX CONCRETE SMALL LARGE <br />ON <br />DATE INSTALLED: l,� - / * C, '�: ', OFF SUB TOTAL <br />CODE ' LABOR AND E'4UIPMEN1 RENTAL I HOURS <br />RATE <br />d 01-1 0-1,4-4-ove-i � <br />TOTAL <br />REMARKS: <br />