Laserfiche WebLink
NOP�" �� ����; CITY OF EVERETT ORDHRE ���o - : <br /> APPLICATION FOR WATER SERVICE IV_ L! �5J8/ 4 �.,� ; <br /> DATE__—�:-1.19 �"�'� I <br /> � FIXED i <br /> �,. ,�C�� : W. O. � <br /> � DEPOSIT S � / / , � No.— I <br /> > I <br /> , , �-� �� /n � �,;� <br /> SERVICE (BV wo�RE88) � 1/��� /�� //Vlj� / '--=--� ' "�� BLK._ LOTi�_�ADD��n - <br /> OWNE? �-�( � (���.��1/ , CONTRAGTOR_;=� �I7����- --- I <br /> ' � ��FA.AT � ' <br /> � <br /> INSThL � L METEREb SERVICE .---.. ,�/("J� �— -- i <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE /p�/,�L�/� <br /> Ofi01NANCES A ID POLICIES OF THE WATER �EPARTMENT NOW E%IS71NG /� �`�/�/r I <br /> OR AS SAME MAY BE HEFEAFTER CHANGED. st�r+Eo: XN�— � G yG�---------- � <br /> - MRTEFIALS - - Yi �N. 1 IN. � 2 IN. I � - �'� RMOUNT I <br /> I I <br /> PIPE COPPER-- GALV.--STEEL L__il____. . - I <br /> �—I i <br /> CORPORATION � , I—. — <br /> CIIRl3 COGK OT _ _ I I _ — _7 <br /> SERVICE BOX PLASTIC -- G � I _. � — <br /> _— _-- — —_ — � � � <br /> — I <br /> METER VALVE . --- --- --- I <br /> —_——. ____..— _ _—_... --. __—___ ____ ._— <br /> METER No. TYPE' I `* -_ — <br /> METER BOX CONCRETE SMALL LARGE _ _____ <br /> - __ —_— . --.-- —i—�—I — — _ <br /> - - —i —j — ' __ — <br /> —'- __--.____ —_ -- I — <br /> -- - -- -- -�-�-�- - � <br /> ON <br /> DATE INSTALLED: "� `� ! ��� OFF SUB TOTAL <br /> ��� ,� <br /> CODE �I LABOR ANDEOUIPMENfflENTAL HOURS FATE <br /> 'l I c�� / L �'cc�°�.E?ijc i�.'/' �--- — <br /> _ _ ---- ------- --- - - <br /> � ' � -- - — <br /> � — � -- - - <br /> ----- I _. <br /> ' - -- --- --- i- _- -- <br /> - -- ----- - <br /> !� ----- I <br /> � <br /> TOTAL <br /> REMARKS: <br />