Laserfiche WebLink
� ��-Q I <br /> APPL�� CITY OF EVERETT SERVICE � � <br /> Na• ORDER NO. .. . ._ .. <br /> APPLICATION FOR WATER SERVICE /� � .�/ <br /> � FIXED DATF.L�f�i�_�_lY�. <br /> °� 1 <br /> � oEPosiT s �f Q w. o• <br /> No. <br /> y i< - z8"-� <br /> SERVICE (BY A00 E86)_�� ��`� �' ��`� BLK.__—_1..0T ADD. <br /> OWNE � ��+� _CON7RACTOR <br /> q �� FJ.-<.T�--�"�.� <br /> INSTAL�p- METERED SERVICE—,1__ ____-__ <br /> t <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITN THE <br /> ORDINANCES AND POLI'.IES OF THE WATER DEPARTMENT NOW E%IS71NG �� � � ' i l <br /> OR AS SAME MAY BE HEREAFTER CHANGED. BIGNEo: X . _y ��fy�ik=_�,_ � � - _ <br /> MATERIALS I � �N� � �N. I 2 IN. I I PRICE � AMOUNT <br /> PIPE P S �L COPPER-- GALV.-- STEEL !('�� I I`_ _ <br /> GORPORATION �� <br /> CURB COCK OT I I I <br /> SERVICE BOX PLASTIC -- C I <br /> '—____._. _ .__ _ I I —_ . . <br /> METER VALVE � <br /> 'r� -- - - --- <br /> V_ 7 - -__-_ <br /> METER NO. �pTZO—. __... � . . YPE I.�4�2/^ � �`. ____ ._1 I — _ __— II <br /> }� l ! _ <br /> METEA BOX CONCRETE OIQ.S-1��. MALL LARGE_r I I I I _ _ <br /> ] � � � � <br /> F ,.=Z-- - —! I �—' — — - <br /> -�-��-= �� --- ---- --- -- - '�--,�--'' '� -�--' - -- - <br /> � � � =,v-r�- _ -7- --- - � � I <br /> v.4v,r' S II <br /> <erv�c.t }:u.�7Q I �'l�`za 'F�S �� I <br /> J{ -a4 s �,1��p_t�_ _3-` --Lc� <br /> —�5kiu ��5 C�.u���. .N,.st I--I--i--�-- -- <br /> � +' 3-".1��. �_ 1-s -# �- - ----;--�--�--�--��— <br /> I <br /> ON <br /> DATEINSTALLED: � 7 � U I � OFF SUB TOTAL <br /> COOE LABOR AND EOUIPMENfRENTAL I HOURS R4TE <br /> S , J ea( �'-� � <br /> — -- - - --- - - — <br /> � - prHP�_ it <br /> __ - ---- -----y 6- - -- ------ <br /> � �� # _ �-� �-" -- - <br /> - - <br /> � �� �� �- 3-,2- �--`� <br /> -' --- - -- -- -- - - <br /> I <br /> ---_-- __--------- -- <br /> —� - -- ---- - - - -- --- ---- - �- - -- <br /> ; I <br /> TOTAL <br /> REMARKS: \ <br />