Laserfiche WebLink
wPP�. ��,3��� CITY OF EVERETT SERVICE <br /> No. ORDER p 5� <br /> APPLICATION FOR WATER SERVICE N�, ��� � <br /> � IXED " � DATE.�f� 1B <br /> ' �EPO51T s � � pl � J�/V-�' p�p�_ _ <br /> SERYICE (BV ADDRE88 LOT ADD. <br /> OWNER � LONTRACTOR -- �— <br /> F <br /> INSTALL� � METERED ERVICE—.. — <br /> /� r <br /> i HEREBY AYPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE /iJ�L <br /> ORDINANCE�i AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING //' <br /> OR AS SAME MAY BE HEREAfTER CHANGEO, eIGr�ED: X „�.9' - 1--� - .. ��-- --� <br /> MATERIALS IY� IN.' IIK. i21N. i I PA�CE ' AMOUNT <br /> PIPE COPPER--GALV.•-STEEL _� I �_ <br /> GORPORATION � � I_I , <br /> I <br /> CURB COCK OT I I _ <br /> SERVICE BOX PLAS7IC -- C I I <br /> METER VALVE _ _ __ <br /> METER No. '—�- TYPE: '__'_ I 'i - — �— --- <br /> METER BOX CONCRETE SMALL LARGE _I__ __ <br /> -- '— _— I _�'— <br /> ��� --- — _� �—�— -- <br /> — �—� -- — <br /> �- , � ��1 <br /> �i i^��- - <br /> � ON <br /> DATEINSTALLED: � OFF SUB TOTAL <br /> GOUE � LA90qANDEOUIPMENfRENTAL I MOURS RATE <br /> I _ _ I -- <br /> � � � __ <br /> I ,� �- _---- -- �-- --- <br /> ,----� �- - <br /> �_ —,s��v��-rv c��r� �.��k�i -- <br /> � ��Yi�rgq�,s�/s��j--- ---�-- <br /> I <br /> TOTAL <br /> REMARKS: RG 1' V�Lq� �Y f� 1'1 _ __� — - <br />