Laserfiche WebLink
APPL, SERVICE <br />No, a'���� (;ITY OF EVERETT N° 6 6 4 6 <br />APPLICATION FOR W:1T�F SERVICE ORDER <br />� FIRED ��,y� DATE__--�.J_V—__�B�D <br />� DEPOSIT s � �"� W. O. �I <br />No._ <br />'�% I Gt��I` <br />SERVICE(BYAODREB9!� I_Q�� �V��---BLK.. LOT `� ADD.-1_i�`�C�i <br />OWNE��-±s_1-� �CLL �-� _CONTRACTOR___ ______.__ <br />L��( �-FLAT _—. .— <br />INSTAL � � METERED SERVICF C�4 �-��-�l �_ _ _ __ _ _ _ ' <br />I HEREBY APPLY FOR THE USE OF WRTER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING /�� � <br />OR AS SAME MAY BE HE(iEAFTER CHANGED. sicneo: X.__ ____.._ . l..il/:-[r--�__ _,_ _____ _ <br />MATERIALS iilN. IIN.I21N. I � -PRICE AMOUNT <br />PIPE _ _ _ C6PPER -_GALV. _ STEEL � I ' <br />CORPORATION —i� �--'� ��i-� <br />__ _____ '-'.-__ i <br />CURB COCK OT ___ f —i —_ __-I__.-- ___-_._i _____ _._ <br />� <br />� ,--. —___ __"___ <br />SERVICE BOX PLAS7IC -- G 1 � I <br />_ _. _ _ - _ ._ I <br />METER VALVE II I <br />__ -_-__ ____ __...____—_ __. <br />_. '__- — <br />_'—__._ -__. .._ <br />. ._ _. _-_--_ ___"- ___ <br />ME7ER No. TVPE: I ��, I I <br />--___-.. .. . _--.. .—_... �. __ ._ —. ---.i _. __. _.. __ _-- _ <br />METER BOX GONCRE7E SMALL LARGE � ' � <br />------- — -----.�--I � —i —I - --- -- I <br />1 I <br />. . _ _ .. . . _ . .. <br />I <br />pC� oN <br />DA7E INSTALLED: >_ Cl_ Jv n OFF <br />7 <br />COOE � LABOp A�10 EOUIPMEN( RENT/.L <br />-��-���� �-�----_ - - --- _ <br />-- -I --- -- -- - <br />— ------ -- <br />--� <br />- __ _ -- _- <br />�-- - -- -- _ - - --- <br />REMARKS <br />__-_ .. __ - __- <br />�'_t [`e�.i. -. . . __ <br />� C ��J�(�: '= i SS��� <br />__`. �.— _ - 1_ __ <br />I —I— --- --- <br />—I--i — --- <br />� � <br />SUB TOTAL <br />� HOURS' RAT[ <br />