Laserfiche WebLink
'4PP�" aSS99 CITY OF EVERETT seRvice ,; � � � <br /> � No. ORDER NO. �. - . <br /> APPLICATION FOR WATER SE;�VICE � Q�!� <br /> DA"D@'1-G�'�✓-s��_19_',L <br /> � FIXED o <br /> /�S � W. O. � <br /> Gt DEPOSIT S FJV __ No.— - � <br /> � <br /> � �j� <br /> SEP.VICE IOY ADOqE881 � �� /Qj L(/� - ' dLK._--LOT��AD�_�__ "�- - <br /> F:__x�r�' _ /1 �-_1�S-�s�'lXJ <br /> 4WNE _S�— . CONTRACTOR— --- --- <br /> '� LA <br /> INSTALI__�� TERED SERVICF -. . - ---- — -------------- <br /> __ <br /> I HEREBY APPLY FOR T4{E USE OF WATER IN ACCORDANCE WI7H THE <br /> ORDINAHCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTiNG <br /> OI7 AS SAME MAY BE HEREAFTER CHANGED. s�cNeo: %�._- _.--_ --- -. - . --��---.-- . - <br /> MqTER1AL6 � IiL� 1 IN. i 2 IN. i ':-I� I Ffi�CE AMOUNT <br /> -I -I - I <br /> PIPE COPPER -- GALV. •• STEEL _ _� <br /> CORPORATION I I __J <br /> CURB COCK OT I �� I . _ <br /> SERVICE BOX PLASTIG -- C I _ I I ___ ___, <br /> 1dETER VAWE � _ ______ _ � <br /> METER No. —_ .___-TYPE: --_I_K —___ _-_i _-__. _ -- _.. .. <br /> METER BOX CONCRETE � SMALL LARGE _I_I _ <br /> — —'— —__I—�I'— __'_"__ _'— <br /> __ ---'—______"--�_— I .�__ —_-- .. — - <br /> ___ ____ �— _—I�— — - <br /> - �—i--i I — . . <br /> �-- —_-_.__"_.'_---_ _—I_I—_ - _ __ . . <br /> —_ —'_._—' _"._-'__'—_I'—'I--__�__� —_ —__— __" <br /> I i ON' <br /> DATE INSTALL_D: � � -U � � p�:F �_ SUU TOTAL <br /> ( <br /> COOE I LADOp ANDEOUIPMENTRENTAL � HOURS RATE � <br /> '' ---- s-�'-�-�- -'-� !-� -- _: <br /> , <br /> --�- -- L� Lcro�+�-i-�- ' - - <br /> -- <br /> - � � � <br /> - ----- -- ��//� - — — <br /> -_' —� �/�/n�_----- - - - �-- <br /> ----� _ _ -- - !-- -- - -- - <br /> ; - <br /> - ---- ------- ------- ---- -- �--- -- -- <br /> TOTAL <br /> REMARKS: <br /> l�—_ ..__ . ___ _ _ _ - . _ _ _ <br />