Laserfiche WebLink
APPL. � / SERVICE <br /> No. �p L� CITY OF EVERETT ORDER <br /> APPLICATION FOR 6VATER SEHVICE NQ 5 3 9 p6-7 <br /> � FIXED DATE__�'l _IBl�F <br /> � DEPOSIT s �7 � W. O. <br /> No._._ _ <br /> SERVICE cer wonRees7��� � � 7 U��y1�__BLK.�V..J�LOT�ADD.(� v 4!1{�.� <br /> OWNE'� �� CONTRAGTOR__���•J_�QL�S.��'G�.,_ <br /> INSTALL� - `I FETE ED SERVICE ��h'��____._ _____ _____...___ <br /> I HEREBY APPLY FOR 7NE I15E OF WATER IN ACCORDANCE WI7H THE /� 7 <br /> ORDINANCES AND POLICIES OF 7HE WATER DEPAFTMEN7 NOW E%ISTING i- J� / <br /> OR AS SAME MAY �E HEREAF7ER CHANGED. e1Gr�Eo: -._ �v:C-._Ci.__ _��_�...___ <br /> MATERIALS — �/ IN._ I IN, i 2 IN. I , I P� �MOUNT <br /> _ If I <br /> PIPE COPPER-- GALV.-- STEEL _ � II <br /> CORPORATION � I <br /> —�-_—' —- <br /> GURB COCIC OT I <br /> SERVICE BOX PLASTIC -• C I I �I— <br /> METER VALVE <br /> .___ ___- .__ .-__ . ._ _-- ___— _____ -_._ <br /> i _—--___ _-__ <br /> ME.iER No. �O � 7YPE: � s5 <br /> _.._.___-__-___.. _ . . _—'�J —'I--'_-__ . '_— _ .. <br /> METER BOX CONGRETE __ SMALL LARGE __I_ <br /> __ _--_ _.__ .__ I _—I .-_._ -__ <br /> —'_ I —I i— _--_ <br /> _—i _ - - <br /> __-""___'_- -—_i_ � _ - �lil <br /> J __,__ I <br /> � � � � � <br /> �ON <br /> DATE INSTALI.ED: �� � ^�, OFF SUB TOTAL <br /> Y <br /> COOE � LABOR ANDEOUIPMENfRENTAL I HOURS RAT[ <br /> � _- ___��'Yl(iI"?�/� � <br /> i----- -- – �_ u. ��1f — - –%y - --- - <br /> ' ��.�-��C�3 --- - ---- �-- --_- ---_ <br /> �_ ��e T� N� Sv�o I <br /> ., --- --- — <br /> I i Ji.�� �, <br /> ---- - - - -- _��-_ . ___ - ----�--- --_ <br /> -- -- - �- - -- <br /> ------- - --- -- --- --__ __ - � --- --- <br /> -- -- I <br /> - , --1- <br /> TOTAL <br /> REMARKS: '� <br /> -__. __ _ . _- __ _._.__.. - ._.__ ___ _ __ __-- __ ._ __ _ ---- � <br />