Laserfiche WebLink
_ � _ , i <br /> �� II <br />`_` <br /> �PP�. CITY OF EVERETT SERVICE � - 1 <br /> No, v����� APPLICATION FOR WATER SERVICE ORDER ��- 6171�/� <br /> � FIXED DATE__���19.5/�_ <br /> G DEPO8IT s ���G W.O. <br /> / f �jy�/��7'J� <br /> S�ERVICE�.tipDD11EY�)�� �f .� � �� � , bLK._ LOT_I�ADD.���J� <br /> OWNER ��-�1� 1,� ��� ��1 /l �� I"� I �_7 COt�TRACTOR �� <br /> � �� c�-�-��t -��,���p — <br /> INSTALL��METERED SERVIGE_. ���r ��1 � .-_ ___ <br /> I HERL,' APPLY FON THE USE OF WATER IN ACCORDANCE WITH THE � <br /> ORDINANCES AND POLIC�ES OF THE WATER DEPAR7HENT NOW EXISTING ' <br /> OR AS SAME MAY BE HEREAF7ER CHANGED. elcNeo: X . _2�._�_�_______ <br /> M�TERIALS �' IN. 1 IN. � 2 IN. I I Pp�CE AMOUNT <br /> �� �� <br /> PIPE COPPER--GALV.-•STEEL I <br /> CORPORATION � � <br /> CURB COCK OT � I <br /> SERVICE BOX PLASTIC - C I I <br /> METER VALVE <br /> METER No. 7YPE: I 'S <br /> — _.._ __.____-___ __.i______ —__— __ <br /> METER BOX CONGRETE _ SMALL LARGE I <br /> — __—I —� -__ —__— � <br /> " _— _ --�i__ _- <br /> I <br /> _ _—i _ '— _' . <br /> _' _— —I <br /> I <br /> _ _' — I —i —' <br /> ON /// <br /> DATE INSTALLED: � �� � I � OFF �(, � �iG1i� SUB TOTAL <br /> J E- <br /> CODE I LABOR AND EQUIPMENfRENTAL MOURS RATE <br /> 1� SLG�n___! — __ <br /> I <br /> i � _— _. <br /> ; - - -- �--- -- <br /> � — --- -- �— <br /> � ----------- -� — <br /> � - --1— - — <br /> TOTAL <br /> REMARKS: CJ(„�J��' �Ii�,1_ _ _ <br />