Laserfiche WebLink
�=. <br />, <br />; <br />�4' <br />� <br />•,•,, <br />�n; <br /> h` <br /> NOPL /.� /C�V � CITY OF EVERETT RDERE - � <br /> APPLICATION FON WATER SERVICE N� �O 5�.2� -- <br /> � FIXED <br /> onY[__��.(�_f 9L�� <br /> � DEPOSIT s �� N� ---__ <br /> SERVICE leY�.noaees)�-1 �,�n ��� ry�If-_�c„ —BLK._ LOT�ADO. r� )�—� <br /> OWNE ' ��>^ � � CONTRACTOR _-- <br /> � LAT ..F� �� � <br /> INSTAL � M�'T�RED SERVICE 'T` /� �� � — -- <br /> 1 HEREBY APPLY FOR 7HE USE OF WATER IN ACCORDANCE WITH THE <br /> ON�INANCES AND POLICIES OF THE VYAIER DEP.IRTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAF7ER CHANGEO. sicn�o: %���- _ _-___-__-_-.____._ <br /> MATERIAlS � �.i IN.� f IN. � 2 IN. I �� PRICE AMOUNT II <br /> I I <br /> PIPE GOPPER-- GALV.- STEEL � '� <br /> CORPOP.ATION - ---_--�___ �I_ . II <br /> CURB COCK OT I I � <br /> SERVICE BOX PLASTIC -- G I _ I _ _ ��I <br />, METER VALVE ' <br /> __._.__-- -.__-_-_..-_ ___ _--- �_..-_ __._. --_-- -- — ' <br /> METER No. TVPE I •6 , <br /> —__-_. . .. _ .- ._ -___ _ ._ .__—. --.',_'__.__- ._- <br /> METER BOX CONCRETE SMALL LARGE _ I I __ <br /> -. __..__-— -. _.-. ___- _ I I I-__ <br /> - — __- _I --�— _ _ <br /> - _—I —_'I -'- --' <br /> - — I— �—I_— _'-- -- _— <br /> ---_ _ -----I--I �- �i-,,--- --- <br /> N( ON <br /> . � <br /> DATEINSTALLED: �J�Z�� �� � OFF �r(L,� SUBTOTAL <br /> � � <br /> COOE I LABOR AND WUIPMENfRENTAL I HOl1F5 PATE <br /> /`"C I :>i Jr-���� �� _..__...--- _ _—'__'--.—I—_.____" - .—. -- ' ', <br /> � I <br /> _ � __— —_. . <br /> ___ __ .I._--- ______. —_ <br /> I __._.—__—_— I . <br /> � _ __—______.______ --_— .___�— —_ .—__.._ -- — <br /> I I <br /> TOTAL <br /> REh1ARKS: <br />