Laserfiche WebLink
SS o rO APPLICATION FOR SERVICE <br />ArPL. <br />No. / CITY OF EVERETT _WATER DEPT <br />O FIXED � n <br />IYI DEPOSIT ; C <br />P1 ///n <br />SERVICE (SY�/DRESS)T- <br />t �y TERED SRE' -VIC <br />`{}�A� �MEE <br />— <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />THE WATER DEPARTMENT NOW EXISTING <br />ORDINANCES AND POLICIES OF <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />SIGNED: <br />MATERIALS <br />or IN.I <br />OPPEfi'-- GALV. -- STEEL <br />PIPE <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC •• C 1 <br />METER VALVE - <br />-- -- <br />METER NO.0�Q6z - "?3 D PE: <br />METER BOX CONCRETE SM LL� LARGE <br />ON <br />DATE INSTALLED: ly OFF <br />�i <br />ENS R[NTAL <br />CODE I LABOR AND EQUIPM <br />REMARKS: <br />SERVICEN2 1126 <br />ORDER <br />OAT 30 19 <br />W. O. <br />s7WLSUB <br />TOTALOURS RATE <br />-I <br />TOTAL `7 <br />