Laserfiche WebLink
APPL. �L��.,(�� rITY OF EVERETT SERVICE <br /> No. ORDER <br /> APPL fJATION FOR WATER SERVICE N�5 3 9� <br /> DATE— <br /> � FIX::D <br /> Gk�J W.O. <br /> �DEPO�IT s � � No. <br /> � �' , SERVICE lav�ooaeeslsZ'�/ �!• 7'.�/�C�I � _BLK.�2C�-3� LOT�—NDD.�I� ����/ � <br /> OWNEI2—/J�� , lSC'l�' 1 CONTRACTOR `��� � ��� E�—� <br /> � �� I F4AT--�---'r � �PLE.0 <br /> INSTAL ETERED SERVI��_ ///��� <br /> I HEREBY APPLY FOR TH �SE-6�WATE�IN ACCORDRNCE WITH THE > /�"/ � �� <br /> ORDINANCES ANO POLICIES OF THE WATER DEPARTMENT NOW E%ISTING t�� �_ . ��_`if <br /> OR AS SAME MAY BE HEREAFTER CHANGED. BIGNEo: % — - — -- <br /> MwTERIPLS L' IN. 1 IN. j 2 IN. I I PRICE " AMOUNT <br /> i <br /> PIFE COP?ER-•GALV.-- STEEL <br /> CORPORATfON � —�� - — <br /> CURB COCK OT � ( — <br /> SERVICE BOX PLAS7IC -- C I I _ _ <br /> METER VAWE ___ - — -- -- --- --- <br /> METERNo. �OLZ �____ TYPE: I_ `�_ __ __ __ - <br /> METER BOX GONCRETE SM4LL LARGE __I_.__ _ <br /> — ___ _—_� <br /> -- I —� —' — <br /> � I <br /> — _I_i —_ _ _— -- — <br /> ----��I � I'i - <br /> "� ON <br /> DATE INSTALLED: �'j'� h7�{ / I OFF SUB TOTA� <br /> J ' U / <br /> GOOE � LABORANO EOUIPMEN�fRENTAL HOURS RATE <br /> � - Cd.2�%/Ir1'�.d.P —_� �� <br /> �A // �-{-1� - <br /> �l��/$ ��-_ -- -�-- --- <br /> _ L���. No �o� z- �--- - <br /> � _ ' ,� �, o � -- <br /> __ ,C��. �1 � � � <br /> II � — <br /> — TOTAL <br /> REMARKS: ________ - <br />