Laserfiche WebLink
APPL. �~7Q��� CITY OF EVERETT <br />Iv �. � lJ <br />APPLICATION FOR WATER SERVICE <br />� F'IXED <br />�� OEPOSIT � / /7 l� <br />—i„Ef-ii <br />SERYICE (BY ADDREael--11� � {•_11[�_-�_ GV __ __BI_K..__LO' <br />F t ` <br />OWNE � _f���___GONTRACTOR_.__ <br />�-�`" �� �_��� - <br />INSTALL ME7ERED SERVICE__ � C <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCOFDANCE WITH THE <br />� <br />ORDINANCES AND POLICIES OF 7HF. WA7ER DEPARTMEN7 NOW E%ISTING <br />OR AS SAME MAY �E HEREAFTER CHANGED. y1GN _ _ <br />SILRVICE Nq -� 6 6 a 5� <br />ORDER �j' <br />DATE- � _v-__19� i <br />W. O. <br />No._ <br />� �AIJD���� �. <br />----- - --- n — <br />MATERIALS � I�4 IN. � 1 IN. . 2 IN. I PRICE <br />PIPE COPPER -- GALV. -- STEEL I �i ' <br />-_ ' -._' <br />_'_ '__._'--_-__-I..__ _. __ ____'_' <br />CORPORATION I � <br />CURB COCK OT I I I <br />SERVICE BOX PLAS7IC -- C I <br />METER VALVE <br />__--_'_._____' _ _ ___-_-_.._'_ _. _'- <br />ME7ER No. TYPE: I , � <br />METER BOX GONCRETE SMALL �LARGE � <br />.- __- -___.___._-___ _ .__ _-I — <br />i <br />—i__- . ._ __. -._ <br />� . . . _.. _ _' - - <br />—i �,I__'__--_ -' —''. <br />I �O N ^� �^ <br />DATE INSTALLED: r OFF `Ot /� lD SU� TOTAL <br />L <br />CODE I LABOH ARO EOUIPMENf RENTAL IIOURS R1TE <br />gl '�Lol __ l _ _ ; -- <br />i <br />-- -- <br />-- -- -- — <br />i <br />- -- — - --- _ _ <br />- � -- --- - _ -- -- <br />REMARKS: �`�L','�_._L���_,%� r-Z % �_S �1 - <br />__- -____.-- _ vf - - _...__." _-_ -___ <br />__'_._-- __' _ 1� _ <br />---- � -- -- <br />------ �--- - <br />-- - <br />i <br />-__ _ _ __ <br />; - <br />TO iAL <br />