Laserfiche WebLink
�( / � <br />APPL. �7 �j� `31�'�S - � <br />No. o� 1• / 0 CITY OF EVERETT SERVICE . . � <br />APPUCATION FOR WATER SERVICE ORDER NO. . � <br />� FIXED � DAT�L'.�v_I�._19 � !� <br />� DEPOSIT s Q p 'I W � <br />�� U N '� �G�� No. _ <br />SEFiVICE (py AODPEas�_ � ��! /�a `1�L�' 30 � <br />_�[_ <br />/ // <br />INSTA <br />I HEREBY APPLY FOR <br />OfiDINANCES AND POI <br />OR AS SAME MAY BE <br />PIPE <br />CORPORATION <br />CURB GOCI( <br />SERVICE 60X <br />METER VALVE <br />M ETER No. (e p <br />METER BOX <br />OT <br />BLK� `� LOT AD�YL�er�'.L � <br />- --- CONTRACTOR <br />T -- <br />'ERED SER ICE—___ ___.__ �.,� <br />OF WATER IN ACCOFDANCE WITH THE / � j <br />OF THE WA7ER DEPARTMEN7 NOW EXIS7ING � J�� <br />AFTEF. CHANGED. si�Heo: X �-����� �_r�l.� - <br />... ____ -_._ __---_..—_ <br />MATERIALS iilN.� 11N.�y'IN.I PqICE Ij �AMOUNT <br />COPPER -- GALV. -- STEEL �I I I I I�I I <br />PLASTIG -• C 1 <br />(of�v_ TYPE:h(ril�jF4l._a <br />/ <br />CONCRETE SMALL LARGE <br />I I I I I � <br />j�' O N <br />OATE INSTALLED: / J� L/_ G v I � <br />'�/ p � OFF SUB TOTAL <br />CODE ; LABOR AND EOUIPMENfRENTAL � MOURS RATE <br />I -__.. .- ..._ - �r/� i � �1 <br />l <br />I —____..—__—_ iA.P//�/J'1�L i 1 �� ___— <br />- _' ----- <br />�3 �" � � '. - --- <br />, _ __ __ <br />, ---- --- <br />- � ---- d-% - ' <br />-- ----�---- - <br />- --------- ; -- <br />; -- - ,- - ---- <br />-- _ <br />Torn� <br />REMARKS: ��� <br />