Laserfiche WebLink
APPL. -i / APPLICATION FOR SERVICE SERVICE N2 680 <br />ND. ORDE n3 CITY OF EVERETT WATER DEPT. <br />io7 / <br />FIXED <br />❑ DEPOSIT g 2_NO.- <br />SERVICE/(/sy�'ADDRESs �,�(� BLK._—LOT_—AOD. — <br />OWNER -� h/ „ CONTRACTOR <br />1�1�. FLAT <br />1NSTALI_L__'-...�-+ Eb-SERVICE - �l <br />I HEREB', APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIFS OF THE WATER DEPARTMENT NOW EXISTING SIGNED: XtS,��-k'��"'� <br />nR AC CAMP MAY RF HFRFAFTER CHANGED. <br />MATERIALS <br />3i IN. <br />I IN. 1 2 IN. <br />PRICE <br />AMOUN <br />plpE <br />— GOPP�- GALV. - STEEL <br />J.3 <br />�J <br />�1� <br />CORPORATION <br />(ERBE0jK SOT <br />C I <br />SERVICE BOX <br />METER VALVE <br />PLASTIC - <br />METER No. <br />TYPE: <br />— <br />METER BOX CONCRETE SMALL LARGE <br />DATE IPI S'i Al_LED: IC <br />/ <br />ON <br />�-O FF <br />Al <br />SUB TOTAL <br />i <br />/ <br />a ( <br />`,( <br />//! <br />CODE <br />LADOR AND EQUIPMENT RENTAL <br />_i HOURS <br />RATE <br />I <br />TOTAL <br />/ /I <br />S <br />V <br />EMARKS: <br />