Laserfiche WebLink
APPL. <br />No. 1 /D <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />FIXED <br />DEPOSIT s ;1 <br />la 1 ,5 rI H <br />-4' ,aVF SF <br />SERVICE (SY ADDRESS) <br />OWNER_ - r '9) ()J0/(2--, <br />FLAT�� <br />INSTALL LMETERED SERVICE ;+ <br />SERVICE <br />ORDER <br />N° 80 <br />DATE f�_x`19 <br />W. O. <br />No <br />BLK.__ LOT ADD <br />CONTRACTOR <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />MATERIALS <br />'A IN. <br />1 IN. 2 IN. <br />PRICE ,L. <br />-'AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />METER No. E/ 9 TYPE:/CG/s/1a0 'A <br />y <br />METER BOX CONCRETE SMALL LARGE <br />- <br />it i <br />DATE INSTALLED:/a ` <br />.3/ e8 <br />• ON <br />OFF SUB TOTAL <br />e <br />CODE I LABOR AND EQUIPMENT RENTAL HOURS <br />RATE <br />1 <br />TOTAL <br />REMARKS: <br />