Laserfiche WebLink
APPL. �`D� L� CITY OF EVER[TT sErxv�ce .., ��_ �� <br />No. � 4 APPLICATION FOR VVATER SERVICE ��RDER NO`� ..- �� <br />� FIXED DAir�r-��-_iB1L.� <br />ojj � <br />� DEPOSITS �jO IJo� <br />-� __..._.. /1 <br />SERVIGE 1er n�one s1 ���J'��� / --� -'"- '� ' ="�-BLK._ LOTI `��F��L�'���.- <br />OWNER • �5�� � —CON7RACTOR_---- --- - <br />�� �/ <br />INSTALL_.,CS/ —METERED SERVICE—.-- -_ - --- -- <br />I HEREBY APPLY FOR THE USE OF WATER IN ALCOHDANCE WI7H THE � �j. <br />ORDINANCES AND POLICIES OF iNE WATER �EPARTMENT NOW EXISTING If1_ _ L�% l.K� <br />OR AS SAME MAY BE HfREAFTER CHANGED. s��NE�. ------ - - <br />� <br />MATERIALS �i IN. 1 IR'.' 2 IN. � ' /I PRICE AMOUNT <br />I <br />I <br />PIPE COPPER -- GALV. -- STEEL I I i <br />. __ _ '_ _-_. .I_—`.__�__ <br />CORP0:2ATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />MFTER BOX <br />OT <br />PLASTIC •- C I <br />TYPE: � ',S <br />GONCRETE SMALL LARGE <br />Dl.TE INSTALLED <br />COCF. I <br />REMARKS: <br />� I I I I � <br />I 6+( ON <br />"L SUB TOTAL <br />/�_,J���lt�J� � OFF <br />«' O <br />I.ABOR �ND EOUIPMENT RENTPL � HOl1R5 RATE <br />-- _ G'�iI/�r�'r?c-�.(� — --- – <br />I <br />TOTAL <br />G <br />c. <br />fr <br />�-. - <br />N � <br />0 <br />r� <br />cc <br />mc <br />�. <br />�� C <br />U . <br />R, <br />-� �. <br />S -. <br />m <br />CJ ~ <br />C <br />a -, <br />r �. <br />-1 v. <br />-G <br />T� <br />oz <br />'�l T, <br />--i � <br />m � <br />v <br />0 <br />or <br />� r� <br />cv <br />3 v <br />m <br />z �: <br />--i r <br />. m <br />� <br />