Laserfiche WebLink
APPL. a%�}—�F�"� SERVICE �� 1 .; �°_ � <br /> No. �� "' � / CITY OF EVERETT ORDER N0. °�� '� � � <br /> • ����l �J' APPLICATION FOR WATER SERVICE v/ <br /> • DATES���—�9� <br /> � FIXED p <br /> l W.O. <br /> � DEPOSIT g,� No. <br /> � 1 7��// �+ C � �/ <br /> SERVICE (BYACCRE88)� . � /d "• ��• `� c' BLK._ LOT�� NDD�'�'�'�'UeL__ <br /> OWNE � � �r7' � � �' J CONTRACTOR - — <br /> � . n <br /> INSTAL�METERED SERVIGE_.-- — <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE <br /> ORDINANCES AND POLICIES OF THE WA:ER DEPAFtiMENT NOW EXIS7ING �/—d'"��"� <br /> OR AS SAME MAY BE HEREAFTER CHANGEU. awNeo: X .._ ------ <br /> MATERIALS �' IN. 1 IN. � 2 IN. I�L�_ PRIGE AMOUNT <br /> p�pE COPPER-- GALV.--STEEL I <br /> CORPORATION ��. - <br /> GURB GOCK OT _ I I <br /> SERVICE BOX PLASTIC -- G I I I _. <br /> METER VALVE __ ,_--. — — <br /> METER No. 7YPE: I `� _ <br /> METER eOX GONCRETE SMALL LARGE . _ <br /> --. --I �I — <br /> _— I J—.— —. <br /> � <br /> I <br /> I <br /> , I I I <br /> ON <br /> DATE INS7ALLED��t,f- / /Q �� I � OFF SUB TOTAL <br /> V Ut � l 1. <br /> GOOE � L�OOR AND EQUIPMEN'fPENTAL I HOURS RATE <br /> I—�. '_—___ _ __—I —_. <br /> - � `� �� - -- <br /> --���-- - -�- �-1- -- <br /> -'�/� - � <br /> I - --- -- � <br /> I � <br /> -- TOTAL <br /> REMARKS: - <br />