Laserfiche WebLink
I J� � SERVICE Na Z� JO <br />I �/ �.(� � APPLICATICSN FOR SERVICE ORDER <br />�"°P `�� " CITY OF EVERETT WATER DFPT'. _� <br />DATE—�I `Z 19 <br />i�FIXED G � W.O. _— <br />, � DEPOSIT 5 �'Ji '� No. <br />! 1�D7'� liZ.tJO C�l BLK.Lt �—LOT/�� .ADD._C���i/__ <br />�, SERVICE (BY nDDnessl-- <br />i �% � /L� /���� _�CONTRACTOR_-- -"-- � <br />OWNER�- �T� <br />� Y FI�92�----- � __ <br />� INSTAU / �1ETEREU SERVICE <br />�___--_ <br />I I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE \YITH THE <br />; ORDINANCES AND POLI����IES OF TNE WA7ER DEPARTMEN7 NOW fXISTING sicNeo: X�� <br />` OP, p5 SAM� MAY BE HEREAfiER CHANGED. <br />MATERIALS —I 4i ItL I t IN. I 2 il:. � I <br />i P,PE COPPER = GALV.--STEEL __ <br />� <br />I CORPORATION — <br />GUR� g CpCK OS — <br />�SERVICE BOX� PLAS7IG -- G I _ _ _ <br />� tAETER VAWE __— ---� ---- <br />�"— — —'-_TYPE:!'I� . ° Cp I `s <br />� METER No. SZJ_/--_---.— '.•F-/- _-___ <br />�— SMALL LARGE <br />� METER BOX COMCRETE __ _ <br />I DATEINSTALLED <br />GODEI I <br />I � ON <br />7 / � OFF <br />Y <br />LABOR ANDEOUIPMEN'fRENTAL <br />� <br />PRICE II /MOUNT <br />SU� TOTAL <br />HOURS I RAT[ <br />f I - _ -�'�- _'�j_ �- ��'- /�"�- -�� - ----- <br />�--', _ � -�� _--_-,� - - - - <br />i i -_ --- � ------- -- �-- --- <br />O �,_ -� <br />I � /N � _. <br />I REMARKS: � /�/F i� ' � -�- �__/ __.�.. <br />�-- -, --i.- <br />�rt��r ���Y�!-„�; �:r�,�. ��, _ <br />TOTAL <br />_ _�:y�1� --•-•'_-'_ _. <br />i-,-- '_-' __ — <br />