Laserfiche WebLink
�� <br /> APPL ^/_] /�`l � CITY OF EVERETT SERVIGE \�� - ' C )C <br /> No. l/� � �I f ORDER 1`- U 5 G U <br /> APPLICATION FOF WATER SERVICE I 1 / � M <br /> � FIXED � �ATE_ � 1B_xL_J <br /> � DEPOSIT S I�l/ -- W.O. <br /> I— No._ <br /> y SERVICE (av wooReee)�1 I r J—" ' �,Y L�J _BLK._ LOT_ `-� ADD. �J11�,LL,�1__—. <br /> OWNE � GONTRACTOR ��f�_ _ <br /> < �� �-A �7 �� ��J �_— rp <br /> INSTALLL,L�M RED SERVIGE <br /> I HEREBY APPLY FOR THE 115E OF WA7ER IN ACCORDANCE WITH THE � <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMEHT NOW E%ISTING <br /> OR AS SAME MAY BE HEFEAFTER CHANGEO. etcNeo� . . __ _______ __ ._ _ _ _ _ <br /> MATERIALS — Y� IN. 1 IN. � 2 IN. i � Pq� AMOLINT <br /> PIPE __ GOPPER-- GALV.--STEEL I � <br /> CORPORATION � —� �� — <br /> CURB COCK OT � � <br /> SERVICE BOX PLASTIC -- C � I <br /> METER VALVE <br /> —___—_ __._—._. .—�_— —_.--_ __—. <br /> METER No. TYPE: I � <br /> — _....__— __—__—___--__ __—.�__ ______ <br /> METER BOX GONCRETE _SMALL LARGE i <br /> _ — i_ <br /> _ '_' �I <br /> I �I_'_ _ _ <br /> I <br /> — — _..—_ _—I_ � — .. <br /> I <br /> � � � <br /> DATE INSTALLED: � OFF �/JL CJL� SUB TOTAL <br /> COOE � LABOR ANDEOUIPMENfHENTAL � HOURS RATE <br /> �I �' --___—_ � I <br /> I — ___ _ __. I <br /> —_ '_'— — I.-- ____-- <br /> i � �I <br /> I - --- -- - I -- - -- � <br /> i ------- - I - - -- - i <br /> - _ _ - -- � <br /> - I -� -- <br /> TOTAL <br /> i <br /> . <br /> REMARKS: L- `-. �� "-) C.� .� .� � <br /> _ zL`_.--=— _..c_ 1 1 - '__ ._--_ __ __ _ _ ____ __ _ _____— —._ � <br />