Laserfiche WebLink
APPL. � �SD i <br />rNo. <br />� FIXED <br />c� <br />•^'�"� � DEP051T �� <br />BERVICE ur wcDllu�)� <br />CITY OF EVERETT <br />APPLICATION FOR WATER SER\/ICE <br />T4 POSTING i�-/9 � <br />INSTAL � ` S ETERED SERVIG � <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH TNE � <br />OqDINANCES AND POLICIES OF THE WATER DEI'ARTMENT NOW E%IST�NG <br />OR AS SAME MAY BE HEREAFTER CHANGE4 . sicNen: ._ <br />MATERULi ii IN. -t -IN. � 2 IN. <br />F'�PE � y�Q�y'� COPPER -- GALV. -- STEEL nl`25 <br />CqRPORATION � l��n/ g y � -� . � <br />CWRB COCK OT i <br />SERVICE BOX PLASTIC •• C I I <br />METER 1��.�_ QY__/_-L-��-_—.___� — <br />41ETER No. __ TVPE: I !S <br />M[7E.R BOX GONCRETE SMALL LARGE I <br />DATEINSTALLE�: /„ <br />COOE I <br />0 <br />REMARKS: <br />� ) I � ON <br />� � O:�F <br />L�BOH AND EqU1PMEN�f RENTAL <br />r r - - -I <br />. i <br />I <br />,,, i <br />SERVICE n{O � � � C <br />ORDER tv u <br />DA7E G- a P _1e 9� <br />W. o. <br />✓ <br />r. <br />SUB TOTAL <br />HOl1R5 � RATE <br />TOTAL <br />E <br />